PLD/F-000

PT PAMAPERSADA NUSANTARA PERIODICAL SERVICE FORM

MINING CONTRACTOR
LUBE TRUCK
PAMA UNIT MODEL :
CODE NUMBER : ENGINE MODEL : ENGINE S/N : LAST OVH :

PAMA
PS I PS II PS III PS IV PIC

WORK ORDER NUMBER

HOUR METER

DATE

Mechanic
SERVICE

START TIME

FINISH TIME

MANPOWER QTY PS

MECHANIC NAME

CLEANING UNIT ( HOUR )

Mech
LEAD
TIME

SERVICE TIME ( HOUR )

ENGINE OIL (QTY BOTTLE)

PAP SAMPLE

TRANSMISSION OIL (QTY BOTTLE)

Mechanic
DIFFERENTIAL OIL (QTY BOTTLE)

HYDRAULIC OIL (QTY BOTTLE)

FINAL CHECK EVERY 250 HOURS (dilakukan setelah PS) ACTIVITY PS I PS II PS III PS IV PIC

1 WALK AROUND CHECK RECHECK

2 OIL LEVEL RECHECK
3 FILTERS TIGHTNESS & LEAKAGE RECHECK
4 OIL & FUEL CAP TIGHTNESS RECHECK
5 DRAIN PLUG TIGHTNESS & LEAKAGE RECHECK
6 BACKLOG REPAIR QUALITY RECHECK
7 WATERCOOLANT LEVEL RECHECK
8 PANEL CABIN WARNING LAMP RECHECK

GL
9 START ENGINE, CHECK NOISE RECHECK
10 WORKLAMP, TURN LAMP, SIGNAL LAMP RECHECK
11 ATTACHMENT RECHECK
12 BRAKE FUNCTION RECHECK
13 TRAVEL FUNCTION RECHECK
14 OIL/WATER/FUEL LEAKAGE RECHECK

NAME

SIGN

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 PT PAMAPERSADA NUSANTARA Periodical Service Form (Checksheet A) PLD/F-000
MINING CONTRACTOR
PAMA
LUBE TRUCK
UNIT MODEL :
CODE NUMBER :
HM
TASK A : INSPECTION & QUALITY CONTROL
EVERY 250 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
Drive, Check & Test
1 Horn,Rear View Mirror & Side Mirror Check Sound, Dirty or Crack 1
2 Starting & Charging system Check Function 3
3 Monitor Panel & Gauge's (Oil press, Water temp,Air Press.etc) Check Function 5
4 Windshield Wiper (Wiper & Washer pump etc) Check Function 2
5 Air Pressure System (Air Compressor, Regulator etc) Check Function, Leaks 5
6 Air Conditiioner (Blower, Switch etc) Check Function, temperature 3
7 Transmision Gear All Position (Gear speed & Aux) Check Shifting, Noise 5
8 Clutch System (Pedal, Free play, & Engagement) Check Function, length 5
9 Steering System (Steering Wheel, Free play) Check Functon, abnormality 5
10 Test Braking The Machine (Foot Brake, Exhaust Brake , Parking Brake Aplied) Check Function, travel 5
11 Operator Seat Check Function, Damage 2
12 Fire Extinguisher (APAR) Check Function, instalation 2
13 Safety Belt Check Function 2
14 Rotary lamp Check Function 1
15 Lock Out Check Function 1
16 Emergency shutdown Check Function 1
17 Lighting System.Head Lamp,Turn Signal Lamp,Work Lamp etc. Check Function 5
18 Rocker Arm Cover, Cylinder Head & Cylinder Block Check Leaks, Noise, crack 5
19 Radiator piping, Hoses & Connection Check Leaks, loose, damage 5
20 Fuel Line as piping, hoses, Filter and Fuel Return Check Leaks, damage 5
21 Water Coolant & Reservoir Tank Level Check 5
22 Water Pump & Cooling system pipe & hoses Check Leaks 5
23 Steeering Gear Box & Servo pump Check Leaks 3

Mechanic A
Check Physical Condition of Engine
24 Fan Belt, Alternator belt & AC V.belt Check Loose, crack, Replace if required 5
25 Fan Pulley & Tension Pulley Check Loose, crack, Replace if required 5
26 Air pipe between Intake Manifold & Turbocharger Check Broken, leaks, loose 5
27 Exhaust Manifold for leaks & loosenes Clamps Check Broken, leaks, loose 3
28 Turbocharger Check Broken, leaks, loose 2
29 Muffler & Flexible Muffler Check Broken, leaks, loose 4
30 Radiator Fins Check Leaks, Damage 5
31 Engine Mounting Check Damage, Loose 5
32 Transmision Mounting Check Damage, Loose 3
33 Oil Pan for leaks & Retorque bolt if it necessary Check Leak or loosen 3
34 Air Compressor Check Leak, Damage 2
Check & Maintenance of Attachment
35 Hydraulic Lines as piping,hoses Check Leak 5
36 Hydraulic Tank Check Leak 5
37 Hydraulic Pump Check Leak 5
38 All Connectors Check Function,damage 5
39 Propeller Shaft/Coupling PTO to Hydraulic Pump Check Function, damage Retorque 5
40 Air Switch PTO Check Function 5
41 Air Line PTO Check Leak 5
42 Control Valve Check Leak 5
43 Hydraulic Motor Check Leak 5
44 Diaphragma Pump Check Leak 5
45 Hose Reel Check Leak 5
46 Oil Flow Meter Check Function 5
47 Oil Gun Check Leak 5
48 Grease Pump Check Function,Leak 5
EVERY 500 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
49 AC Air Filter Replace 3
50 AC Condensor & Evaporator Clean & Check Dirt, Clogged 10
3.4333
V Kotak checkmark sebagai tanda bahwa recheck telah dilakukan untuk critical item

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 PT PAMAPERSADA NUSANTARA Periodical Service Form (Checksheet B) PLD/F-000
MINING CONTRACTOR
LUBE TRUCK
PAMA
UNIT MODEL :
CODE NUMBER :
HM
TASK B : INSPECTION & MEASUREMENT
EVERY 250 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
Rear Suspension, Propeller shaft & Joint Inspection
51 Rear shock absorber & Mounting bracket Nut Hollow spring Check Leak, Broken & Retorque, Worn 10
52 Bogie bushing RH & LH Check Worn,Damage 5
53 Spring, U-Bolt & Retorque nut Check Broken, Loose 10
54 V Stay ; Torque Rod & Torque the Bolts Check Worn out, Loose 10
55 Chassis Frame & Cross Member Check Crack, Loose Bolt 5
56 Propeller Shaft, U-Joint and retorque bolt Check Worn, Loose 10
57 Rubber Stopper Check Worn, Loose 3
Brake Lining Measure
58 Rear Rear Axle RH Lining & Seal hub Check Worn , Leaks 5
59 Rear Rear Axle LH Lining & Seal hub Check Worn , Leaks 5
60 Rear Front Axle RH Lining & Seal hub Check Worn , Leaks 5
61 Rear Front Axle LH Lining & Seal hub Check Worn , Leaks 5
62 Axle & Differential housing & Breather Check Crack, Damage , Clean 10
63 Slack Adjuster & Camshaft brake Check Worn, Malfunction 5

Mechanic B
64 Load Sensing Valve Check Leaks, Damage 3
65 Front Axle RH Lining & Seal hub Check Worn , Leaks 5
66 Front Axle LH Lining & Seal hub Check Worn , Leaks 5
Front Suspension, Steering gear Inspection
67 Shock abshorber, Front Spring & Torque U-Bolt Nut Check Broken, Worn/Thin 10
68 Pitman arm, Link rod & Cleareance all Ball Joints Check Worn, Loose 5
69 Steering linkage condition Check Worn Out, Loose 5
70 Steering Knuckle bearing Check Damage 10
71 Rubber Stopper Check Worn Out 3
Transmision
72 Clutch Housing Check Leaks, damaged seal 2
73 Transmission Breather Check & Clean 2
74 Oil cooler Check Leaks 2
Physical inspection & Repair
75 Release pressure on Air Reservoir Tank Check Leaks, lot of water 2
76 Fuel tank Hoses, pipe & Mounting Straps Check Leaks, Crack 5
77 Fuel Tank Strainer & Breather Clean, Check Clogged, Dirt 5
EVERY 4000 HOURS ACTIVITY STD. PS IV PIC
Measured Front Wheel Alignment

Mechanic B
78 Measuring Toe in / Toe out Measure, Check Out of Standart 15
79 Measuring Camber Measure, Check Out of Standart 15
80 Measuring King pin Inclination Measure, Check Out of Standart 15
81 Measuring Caster Measure, Check Out of Standart 15

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 PT PAMAPERSADA NUSANTARA Periodical Service Form (Checksheet C) PLD/F-000
MINING CONTRACTOR
LUBE TRUCK
PAMA UNIT MODEL :
CODE NUMBER :
HM
TASK C: LUBRICATION, DRAIN & REFILLING FLUID
EVERY 250 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
82 Oil level of Differential Check Leak & level 20
83 Clutch Fluid Check Leak, level, Top-up 5
84 Transmission Oil Level Check Leak & level 5
85 Hydraulic Oil Level & Lines Leakage Check Leak & level 5
86 Windscreen washer Fluid Check Leak, level, Top-up 3
87 Engine oil Change 30
88 Oil Filter Replace 10
89 Fuel Filter Replace 10
90 Engine Breather Element Clean 5
91 Power Steering Fluid Check Leak, level, Top-up 5
92 Air Cleaner Inner & Outer Element Check Dirt, Clog, Replace if req. 10
93 Air Cleaner Housing , Cap & Vacuator Clean 5

Mechanic C
94 Dust Indicator Check Function 3
95 Battery Electrolyte & Box Condition Check Leveling & Condition 5
96 Battery Terminal Conection Clean & Check Corrossion, Loose 3
Lubrication / Greasing
97 Front Spring Pin & Shackle Pin Lubricate, Check Neeple 3
98 Tie - Rod End Lubricate, Check Neeple 3
99 Propeller-Shaft Journal & Yoke Lubricate, Check Neeple 10
PTO Propeller Shaft U-Joint Lubricate, Check Neeple 3
100 Transfer Control Linkage ( TZA series ) Lubricate, Check Neeple 3
101 Rear Spring Contact Seat Lubricate, Check Neeple 3
102 Drag Link End Lubricate, Check Neeple 3
103 Steering Column Journal & Yoke Lubricate, Check Neeple 3
104 Trunnion Shaft Lubricate, Check Neeple 3
105 Engine Water Pump Pulley ( TZA series ) Lubricate, Check Neeple 3
106 Door Hinge ( TZA series ) Lubricate, Check Neeple 3
107 Clutch Release Shaft Lubricate, Check Neeple 3
108 Brake Camshaft & Slack Adjuster Lubricate, Check Neeple 3
109 Clutch Release Sleeve Lubricate, Check Neeple 3
110 Engine Water Pump Lubricate, Check Neeple 3
111 Birfield Ball Joint Lubricate, Check Neeple 3
EVERY 500 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
112 Transmission Oil Change & Check Leaks, Dirt, Clog 30
113 Tranfer Box Oil Filter Replace 10
114 Front Axle Lubricated Wheel Bearing Change & Check Lub & Dirt 10
EVERY 1000 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
115 Air Cleaner Inner & Outer Element Replace 15
EVERY 2000 HOURS ACTIVITY STD. PS I PS II PS III PS IV PIC
116 Water Coolant Change 20
117 Hydraulic Filter & Top up Hydraulic Oil Change & Check Leaks, Dirt 20
118 Differential Oil & Check Breather Change & Check Leaks, Dirt, Clog 30

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 PT PAMAPERSADA NUSANTARA PERIODICAL SERVICE FORM
MINING CONTRACTOR
LUBE TRUCK
PAMA UNIT MODEL :
INSPECTION REPORT CODE NUMBER :
Part Number No. No. Date of
No Problem Description Qty Status
required Figure Index Insp

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