TRAKINDO

Equipment Condition Report

✔ Delivery Inspection Return Inspection Re-vist Inspection

Customer Name : CV. ANUGERAH MANDIRI Branch : mataram NTB

Address Date / Time : 5 April 2019
Mataram NTB
PO No./Date :
Phone Contract No. : No: 005/RS-SBY/I/2019
Equipments
Item Description SN/Equip ID SMU Item Description SN/Equip ID SMU
1 CAT 320D2 FTP00116 1033 3
2 4
Equipment Condition Checklist
General Tyres (if applicable)
Item Description OK FAIL Remark Item Description % Worn
1 Paint/Body Condition ✔ scratch tipis 1 Left Hand Front 40-60 61-80 81-100

2 Decals ✔ 2 Right Hand Front 40-60 61-80 81-100

3 Hydraulic Leakage ✔ 3 Right Hand Rear 1 40-60 61-80 81-100

4 Engine Complete ✔ 4 Right Hand Rear 2 40-60 61-80 81-100

5 Operating Manual ✔ tidak disertakan 5 Left Hand Rear 1 40-60 61-80 81-100

6 Keys ✔ 6 Left Hand Rear 2 40-60 61-80 81-100

7 Light/Lamp ✔ Note:
8 Operator's Seat ✔
9 Seat Belts/Seat Bar ✔ G.E.T (if applicable)
10 Horn ✔ Item Description % Worn
11 Battery Condition ✔ merk Caterpillar 1 Bucket Teeth 40-60
✔ 61-80 81-100

12 Air Filter ✔ 2 Ripper Teeth 40-60 61-80 81-100

13 Operating Controls ✔ 3 Cutting Edge 40-60 61-80

✔ 81-100

14 Emergency Controls ✔ 4 Under Carriege 40-60

✔ 61-80 81-100

15 Controls & Switch ✔ Note:

16 Breaking System ✔ tidak tersedia
17 Running Test ✔ Others Attachment or Working Tools (if applicable)
Fluid Item Description OK FAIL
Item Description OK LESS Remark 1 Fire Extuingiser (APAR) ✔
1 Full Fuel Level ✔ 1 strip 2 Rotary Lamp ✔
2 Engine Oil Level ✔ 3 Product Link ✔
3 Transmision Oil Level ✔ final drive & swing Note:
4 Hydraulic Level ✔
Damage Report (if applicable)
Pintu samping kanan dan kiri rusak sedikit (terlampir pada gambar).
Lubang hawa (breather) cap Fuel broken.
Grease Gun + Grease tersedia

Comments

Both Parties have already checked and agreed with all condition above
Customer Signature Name :
L.M. Anwar
Position : Direktur
The Rental Store Contact Signature Name :
Wahyu Zulkarnaen
Position : RUE Sales
Note: Attach pictures & CTS Report as necessary