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No. Dok.

: FM-LAP- D2-SOP-003 -003


Formulir
Versi : 1.0
Preventive Maintenance
Hal : 1 dari 2
Label : Internal AC

Location :
Date / time : Reg.Number :
Brand / Type : S/N :
Kapasitas :
N0. Activity Result Operational Standard Status (OK/NOK)
1. Visual Check

a. Environment Condition ………….. No dust

b. Filter …………… Clean, No dust

c. Evaporator …………… Clean, No dust

d. LED & display …………… Normal


(include remote control)

e. Air Flow …………… Fan operates normally, cool air flow

2. Room Temperature ………..….. °C £ 22 °C Shelter/Ruangan


Shelter/ODC *)
………..….. °C £ 28 °C Outdoor Cabinet (ODC)

3. Input Current Air Cond. *)

AC 1 = PK …………….. Amp AC 1 = ………….


¾ -1 PK £ 4 A
AC 2 = PK …………….. Amp AC 2 = ………….
AC 3 = PK 2 PK £ 10 A
…………….. Amp AC 3 = ………….
AC 4 = PK …………….. Amp 2 ½ PK £ 13,5 A AC 4 = ………….
AC 5 = PK …………….. Amp 5-7 PK £ 8 A / Phase AC 5 = ………….
AC 6 = PK …………….. Amp AC 6 = ………….
10 PK £ 15 A / Phase
AC 7 = PK …………….. Amp AC 7 = ………….
15 PK £ 25 A / Phase
*) Choose the appropriate
Notes / additional informations:

Pelaksana : Mengetahui,
No Nama Perusahaan Tanda Tangan

3 (Hadi Sumarto )
91222584

_______________________________________________________________________________________________
ãHakCipta PT. APLIKANUSA LINTASARTA, Indonesia
FM-LAP- D2-SOP-003-003 Formulir Preventive Maintenance
No. Dok. : FM-LAP- D2-SOP-003 -003
Formulir
Versi : 1.0
Preventive Maintenance
Hal : 1 dari 2
Label : Internal AC

_______________________________________________________________________________________________
ãHakCipta PT. APLIKANUSA LINTASARTA, Indonesia
FM-LAP- D2-SOP-003-003 Formulir Preventive Maintenance

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