Daily Checklist Inspection Dozer

Doc. No. 26071-JO-HSE-INS-014

Effective Date 20 June 2020
Revision No. 001

Company : JO Reg Number :

Perusahaan Nomor Reg. JO
ID Equipment Number : Serial Number :
Nomor ID Alat Nomor Seri

Period / Periode :……………/…………. to / sampai ……… /………….20…

OK NA DEFECT

DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS

DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Meter Hours
Meter Hours (jam kerja mesin)
Windshield, washer
Kaca Depan, pembersih
Windshield wiper
Wiper Kaca Depan
Rear view mirrors
Kaca spion
Headlights, high/low
Lampu utama/depan, Terang/redup
Horn, back up alarm
Klakson, alarm mundur
Back up lights
Lampu mundur
Engine oil leaks
Kebocoran oli mesin
Coolant leaks
Kebocoran pendingin
Fuel leaks
Kebocoran bahan bakar
Exhaust leaks
Kebocoran knalpot
Transmission Controls
Kontrol Transmisi
Torque converter/oil leak
Converter torsi / kebocoran oli
Master clutch/slippage
Kopling master / kelancaran, selip
Steering left / right
Kemudi kiri / kanan
Brakes left / right
Rem kiri / kanan
Sprockets, bolts, nuts
Sproket, baut, mur
Track frames, cracks
Rangka, retakan
Idlers / Oil Leak
 DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Idlers / Kebocoran oli
Rollers / leaks
Roler / kebocoran
Pins, bushings, pad
Pin, bushing, bantalan
Shoes, bolts, nuts
Shoes, baut, mur
Hydraulic tank / leaks
Tangki / kebocoran hidrolik
Hydraulic pump
Pompa hidrolik
Control valves
Katup kontrol
Lift cylinders
Cylinder angkat
Blade, cutting edge, ends
Pisau, ketajaman sisi dan ujungnya
Push arms, cracks, pins
Lengan pendorong, retakan, pin
Ripper mounting bolts
Baut pemasangan ripper
Frame cracks
Keretakan rangka
Tooth, pin, lock
Gigi, pin, kunci
Fire extinguisher
APAR
Emergency spill kit
Kit tumpahan darurat
Name of Operator
Nama Operator

Signature
Tanda Tangan