PT.

BIMA NUSA INTERNASIONAL

WORK ORDER REQUEST FORM
√ PLANNED UNPLANNED √ PREVENTIVE MAINTENANCE PROJECTS URGENT

DATE : 30-Dec-22 EQUIPMENT TYPE : Komatsu - D85ESS-2A

HOUR METER : EQUIPMENT CODE : DZ-041
LOCATION : PITSTOP WORKSHOP WORK ORDER NO. :
KELUHAN OPERATOR / OPEN WORK ORDER (DI ISI OLEH PRODUKSI):

Dilaporkan Oleh: Diketahui Oleh:

OPERATOR / DRIVER PENGAWAS

ADDITIONAL INSTRUCTION (DI ISI OLEH PLANT):
Maintenance : Preventive Maintenance Maintenance Code : PM Service 2000
Failure Description : Scheduled Maintenance Failure Code : SC
Cause : On Scheduled Cause Code : SC
Remedy : Action Service Action Code : Action Service PM 2000
DESCRIPTION OF WORK COMPLETED (DI ISI OLEH PLANT) :
Mechanic / Crew Code Time Action
1 .
2 .
3 .
PARTS & OIL NEEDED (DI ISI OLEH PLANT) :
PART NUMBER ITC
NO. DESCRIPTION PART NUMBER GENUINE QTY UoM MARK
MEREK PART NUMBER
1 Engine Oil SAE 15W-40 40 Liter
2 Power Train Oil (Transmission) SAE 30 50 Liter
3 Power Train Oil (Final Drive) SAE 30 54 Liter
4 Damper Oil SAE 30 2 Liter
5 Power Train Oil (Hydraulic) SAE 10 55 Liter
6 Engine Oil Filter 600-211-1231 1 Pcs
7 Engine Fuel Filter 600-311-8293 1 Pcs
8 Power Train Filter 07063-01054 1 Pcs
9 Corrotion Resistor 600-411-1151 1 Pcs
10 Air Cleaner (Out) 600-181-4300 1 Pcs SUDAH GANTI
11 Air Cleaner (In) 600-181-4311 1 Pcs SUDAH GANTI
12 Hyd Oil Filter Element 07063-01100 1 Pcs
13 Hyd Line Filter Element 134-49-61780 1 Pcs
14 Element Hyd Tank Breather 20Y-60-21470 1 Pcs
15 Air Con Fresh Filter 14X-911-7750 1 Pcs
16 Air Con Recirculation Filter 14X-911-7741 1 Pcs
17
18
19
20
21
22
23
24
25
26
27
28
NOTES/TEMUAN (DI ISI OLEH PLANT) :
- Cable Gas not Standart
- Radio Rig N/A
- AC Hot (Evaporator & Kondensor Leak)
WORK ORDER CLOSING
Dilakukan Oleh : Diketahui Oleh : Dibuat & Disetujui Oleh :

MECHANIC SUPERVISOR PLANNER