PT.

MANDIANGIN BATU BARA

SRI GUNUNG PROJECT PSCS
UNIT ENGINE PERIODICAL SERVICE
Model Serial No. Code no. Model Serial no. CHECK SHEET

PERIODICAL SERVICE TYPE 250 500 1000 2000

HOUR METER READING
MAN
MACHINE LOCATION
DATE
START ACTION MAN CLA 26.280
STOP ACTION
BERI TANDA " v " JIKA KONDISI BAIK DAN " X " JIKA KONDISI TIDAK BAIK
SERVICE TYPE
NO DESCRIPTION 250 500 1000 2000
Act Pic Act Pic Act Pic Act Pic
1 Change Oil Engine
2 Replace Engine Oil Filter
3 Replace By Pass Engine Oil Filter
4 Replace Fuel Filter
5 Replace Racor
6 Replace Water Separator
7 STRAIN FUEL PRE FILTER
8 Replace Air Driyer
9 Replace Filter Oil Power Steering
10 Replace Oil filter Differential
11 Replace Air Cleaner
12 Replace Hydraulic Filter
13 Replace Hydraulic Return
14 Change Oil Transmision
15 Change Oil Final Drive ( Differential )
16 Change Oil Hydraulik
17 Check Oil Transmision
18 Check Oil Level in Differential
19 Check Oil Level in Hydraulik Tank
20 Check Fan Belt Tension
21 Drain Water and Sedimen from Fuel Tank
22 Check and Added of Battery Elektrolyte
23 Lubricating All Point of Nipple grease
24 Greasing Universal Joint ; King Pin; Bogie Spring
25 Check Tyre Pressure
26 Clean & Inspect Radiator Fins, After Cooler Fins
27 Check Brake Performance
28 Check and Added Water coolant at Radiator
29 Check Fuel Level
30 Check All Wiring Elektrik Sistem
31 Check AC ( Compressor, Evap, Dryer, Condensor )
32 Check Working lamp
33 Check Horn
34 Check All Tightening Point of Engine Exhaust Pipe
35 Clean and Check Turbocharger
36 Clean Engine Breather
37 Check Alternator and Starting Motor
38 Check Water Pump
Note :

CHECKED BY / SERVICE
250 500 1000 2000
 PT. MANDIANGIN BATU BARA
SRI GUNUNG PROJECT
TRUCK TANK
PSCS

Proppeller Shaft : Chasis :

Brake Chamber : Front Spring :
Cabin : Rear Spring :
Roda : Pin Spring :
Shock Absorber :
V Stay :

Mounting Chassis :
Vessel :
Tail vessel :
Body vessel :
Flow meter :

Lines flow :
Pin and bushing Tank :
Floor vessel / tank :
Sub Frame :
Body tank :
Step Ladder :
Cap Manhole :
Valve tank :

CHECKED BY / SERVICE
250 500 1000 2000
 MACHINE CHECK LIST
DUMP TRUCK

DATE CODE UNIT :

LOCATION : TYPE UNIT :

SERVICE KONDISI
NO COMPONENT NAME
CONDITION ADA TIDAK ADA

1 Head lamp RH & LH Lampu Besar Kanan & Kiri

2 Brake lamp RH & LH Lampu rem kanan & Kiri

3 Sign lamp front RH & LH Lampu sen depan kanan & Kiri

4 Sign lamp rear RH & LH Lampu sen belakang kanan & Kiri

5 Wipper ARM/Blade Kipas Kaca

6 Backup alarm Alarm mundur

7 Wipper ARM/Blade Kipas Kaca

8 Ordinary klaxon / wind Klakson biasa / angin

9 Cabin lamp Lampu kabin dalam

10 Parking brake lamp Lampu Rem tangan

11 Fuel gauge Amper Minyak / fuel

12 Oil Level gauge Amper level Oli

13 Oil pressure gauge Amper tekanan oli

14 Temperature gauge Amper panas

15 KM/HM KM/HM

16 Rotary Lamp Lampu Rotari

17 Roda Cadangan Ban serep

18 Fuel Solar
 19 Attachment Perlengkapan Kerja

20 APAR 3 kg Alat Pemadam

21 Radio Communication Radio

22 DLL Another

CORRECTION ACTION :

DIPERIKSA OLEH DISETUJUI OLEH

( NAMA DAN TANDA TANGAN ) (

ELECTRIC SUPERVISOR

Beri Tanda centang pada kolom di atas sesuai kondi

NE CHECK LIST
MP TRUCK

HM / KM :

BRAND UNIT :

ONDISI KONDISI
REMARK
TIDAK ADA BAGUS TIDAK BAGUS
 DISETUJUI OLEH DIKETAHUI OLEH

) ( )
SUPERVISOR SUPERINTENDENT

olom di atas sesuai kondisi sebenarnya

 DATE

LOCATION

NO COMPONENT NAME

1 Head lamp RH

2 Head lamp LH

3 Brake lamp LH

4 Brake lamp RH

5 Sign lamp front LH

6 Sign lamp front RH

7 Sign lamp rear LH

8 Sign lamp rear RH

9 Cabin lamp

10 Wipper ARM/Blade

11 Ordinary klaxon / wind

12 Backup alarm

13 Parking brake lamp

14 Fuel gauge

15 Oil Level gauge

16 Oil pressure gauge

 17 Temperature gauge

21 Lain - lain

CORRECTION ACTION :

CHECK BY

( )
MECHANIC

NOTES : BERI TANDA ( √

 Electric system Check List
Dump Truck

: ______________________ CODE UNIT : ______________________ HM / KM

: ______________________ TYPE UNIT : ______________________ BRAND UNIT

SERVICE PS I PS II PS III PS IV
PONENT NAME
CONDITION GOOD BAD GOOD BAD GOOD BAD GOOD BAD

Lampu Besar Kanan

Lampu Besar Kiri

Lampu rem kiri

Lampu rem kanan

Lampu sen depan kiri

Lampu sen depan kanan

Lampu sen belakang kiri

Lampu sen belakang kanan

Lampu kabin dalam

Kipas Kaca

Klakson biasa / angin

Alarm mundur

Lampu Rem tangan

Amper Minyak / fuel

Amper level Oli

Amper tekanan oli

 Amper panas

CHECK BY APPROVED APPROVED

) ( ) (
MECHANIC GROUP LEADER SUPERVISOR

NOTES : BERI TANDA ( √ = OK ), ( = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR )

: ______________________

: ______________________

REMARK
 APPROVED

( )
SUPERVISOR

X = REPAIR )

FM/BPP/PLANT/007 REV.00
 CHECK LIST INSPECTION COMPONENT AIR CONDITIONER

DATE : ______________________ CODE UNIT : ______________________

LOCATION : ______________________ TYPE UNIT : ______________________

SERVICE PS I PS II PS III
NO COMPONENT NAME
CONDITION GOOD BAD GOOD BAD GOOD BAD

1 COMPRESSOR
2 RECIVER DRIYER
3 CONDENSOR
4 EVAPURATOR
5 EXSPANTION VALVE
6 AC PIPING
7 AC HOSE
8 ELECTRIC WIRRING
9 THERMOSTAT
10 SWITCH
11 MAGNET CLUTCH
12 AIR FILTER
13 V-BELT
14 MOTOR BLOWER
15 LAIN -LAIN

CORRECTION ACTION :

CHECK BY APPROVED

NAMA & TANDA TANGAN NAMA & TANDA TANGAN

MECHANIC SUPERVISOR

NOTES : BERI TANDA ( √ = OK ), ( = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR

NDITIONER

HM / KM
BRAND UNIT

PS IV
REMARK
GOOD BAD

APPROVED

NAMA & TANDA TANGAN

DEPT.HEAD PLANT

CKLOG ), ( X = REPAIR )

FM/BPP/PLANT/005 REV.00
CODE UNIT :

TYPE UNIT :

DATE :

MANUFACTURER

TYPE BATTERY

TERMINAL BATTER 1 2

+ - +
GOOD / BAD
 GOOD / BAD

CABLE BATTERY 1 2

+ - +
GOOD / BAD

CORRECTION ACTION :

DATE :
CHECK BY

nama & tanda tangan

( ____________________________ )
MECHANIC / FOREMAN
 FORM CHECK BATTERY
BRAND :

LOCATION :

HM / KM :

PART NO / CODE

QTY BATTERY

-
2

APPROVED BY

nama & tanda tangan

( __________________________________________ )
SUPERVISOR PLANT
ATTERY
AND :

ATION :

AMPERE

VOLTAGE

CONDITION ELECTROLYTE
 LOW LEVEL

OVER ADD LITTER

COVER BATTERY

APPROVED BY

nama & tanda tangan

_______ ) ( __________________________________
DEPT.HEAD PLANT
OVED BY

tanda tangan
__________________ )
HEAD PLANT
 WHEEL INSPECTION SHEET
UNIT NO. __________________ MODEL
SMU: KM :

PASANG 'OUT OF SERVICE' , 'DANGER TAG' DAN 'GANJAL BAN' ( Install 'out of service',

POS. TYRE SIZE /PLY BRAND Tyre SERIAL No. RIM BRANDING NO. PATTERN TYPE

1
2
3
4
5
6
7
8
9
10
11
12

JOB DESCRIPTION

13 Periksa kondisi rim (Check condition rim)

R Base Rim
R Flange
R Lock Ring
14 Periksa kondisi valve dan valve cap (Check condition valve and and valve cap)
15 Periksa kondisi tempat pasangan valve (Check condition of valve bracket) Harus ada tulis LUAR dan DALAM de tempa
16 Periksa kondisi baut dan mur (Check condition bolt and nut)
17 Periksa kondisi rock ejector: lurus / bengkok / tipis (check rock ejector condition: straight / bended / worn out)
18 Periksa kondisi valve extension safety cover untuk ban posisi 4 dan 5 (kalau penyok harus di ganti)
ECTION SHEET
MODEL: _______________ DATE:_______________

BAN' ( Install 'out of service', 'Danger Tags' & 'Wheel Chock' )

PRESSURE CONDITION VALVE CAP

TREAD
ada P REMARKS
DEPTH ACTUAL ADJUST HOT COLD
kosong X
/
/
/
/
/
/
/
/
/
/
/
/
CONDITION P
REMARKS
BAGUS JELEK

lis LUAR dan DALAM de tempat bracket.

/ bended / worn out)

Nama & Tanda Tangan Nama & Tanda Tangan

TYREMAN TYREMAN / TYRE SUPERVISOR

 SCHEDULED BREAKDOWN UNITS
JOB DONE DESCRIBTION

BACK LOG AND PENDING JOB DESCRIBTION

REQUIRED PARTS
NO PART NUMBER DESCRIPTION
Service. Name/Signature

Mech. Name/Signature

Elect. Name/Signature

Tyre. Name/Signature

Note:
KWB : Known Work Book
PRF : Part Recommended Form
N/A : Not Available
OWN UNITS

QTY REMARKS
Service. Sup'v

Mech. Sup'v

Elect. Sup'v

Tyre. Sup'v

Date :
 Electric system Check List
Dump Truck
PMC/FRM/PLANT/19 REV.00

DATE : ______________________ CODE UNIT : ______________________ HM / KM : ______________________

LOCATION : ______________________ TYPE UNIT : ______________________ BRAND UNIT : ______________________

SERVICE PS I PS II PS III PS IV
NO COMPONENT NAME REMARK
CONDITION GOOD BAD GOOD BAD GOOD BAD GOOD BAD

1 Head lamp RH Lampu Besar Kanan

2 Head lamp LH Lampu Besar Kiri

3 Brake lamp LH Lampu rem kiri

4 Brake lamp RH Lampu rem kanan

5 Sign lamp front LH Lampu sen depan kiri

6 Sign lamp front RH Lampu sen depan kanan

7 Sign lamp rear LH Lampu sen belakang kiri

8 Sign lamp rear RH Lampu sen belakang kanan

9 Cabin lamp Lampu kabin dalam

10 Wipper ARM/Blade Kipas Kaca

11 Ordinary klaxon / wind Klakson biasa / angin

12 Backup alarm Alarm mundur

13 Parking brake lamp Lampu Rem tangan

14 Fuel gauge Amper Minyak / fuel

15 Oil Level gauge Amper level Oli

16 Oil pressure gauge Amper tekanan oli

17 Temperature gauge Amper panas

18 KM/HM KM/HM

19 Rotary Lamp Lampu Rotari

20 Radio Communication Radio

21 Lain - lain

CORRECTION ACTION :

CHECK BY APPROVED APPROVED

( ) ( ) ( )
MECHANIC SUPERVISOR DEPT.HEAD PLANT

NOTES : BERI TANDA ( √ = OK ), ( = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR )