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MAINTENANCE CHECKLIST
POMPA SUMPIT
Equipment Code :_______________________________
Equipment Location :_______________________________ Type of Maintenance :
Date Maintenance :_______________________________  Preventive
Staff In-Charge :_______________________________  Service Order
Reference S.O.P : ENG/PA/Pump  Special Project

Instruction : Please write initial or text on appropriate boxes below


Return this form to Supervisor for approvals and files

Cleaning Tested
Inspected Comments and
TASK TO BE PERFORM Okay
& &
Parts List
Repairs Result

1. Cek kondisi dan fungsi service valve


2. Cek kondisi pipa suction dan discharge
3. Cek kondisi body pompa & Ruangan
pompa
4. Cek kekencangan terminasi kabel
5. Ukur Ampere Pompa
R
S
T
6. Cek noise dan Vibrasi pompa ketika
running
7. Cek pressure pompa
8. Monitoring Pressure Switch dan
Komponen pendukung pompa
A. ADDITIONAL INFORMATION

Technician, Outlet Acknowledge, Engineering Acknowledge by,

(__________________________) (________________________) (________________________)


Name and Sign Name and Sign Name and Sign

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