Plant Departement

Site ___________________

Check Sheet Inspection after Repair

Model Code Number
Serial Number SMR / HM
EG Model Date
EG Serial Number Inspected By

No Main Problem Component Sub Component

Part Replacement
No Corective Action
Part Number Description Qty

Condition
No Final Inspection After Repair Ok Bad
Recommendation For Next Action
A. CHECK LEVEL LUBRICANT & COOLANT
1 Engine Oil Level
2 Radiator Coolant Level
3 Final drive Oil Level
4 Differential Oil Level
5 Transmission & Steering Oil Level
6 Hydraulic Oil Level
7 Fuel Level
8 PTO Oil
9 Brake Oil
10 Compressor Oil Level
B. CHECK JOB CONDITION AFTER REPAIR
1 Check Leaking
2 Check Tighting Bolt
3 Check Abnormal Noise
4 Check Abnormal Temprature
5 Check Abnormal Smoke/Smell
6 Check Abnormal Vibration
7 Check Abnormal Bending/Crack
8 Check Abnormal Tention
9 Check Abnorlamal Preassure
10 Check Error Vault Code
Keterangan :
*) Diisi dengan tanda v : Kondisi baik (OK) atau x : Kondisi jelek (Bad)

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Checked by, Inspected by,

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FM/SPV Mekanik
PLT-2011-F016.R2 Hal : 01 / 01