PT.

HOKIMORO MARIN NUSANTARA

SERVICE‐SPAREPARTS‐ACCESSORIES MARINE DIESEL ENGINES

Service Request Form

TYPE OF SERVICE REQUEST : ✔ CEK ENGINE (TO) Top Overhoul (GO) General Overhoul

Please provide us with the following information:

1. Customer data
Company name :
Company Address :
Company’s representative name and position :
Contact phone/fax/email :
2. Vessel data
Vessel name :
Vessel Type :
Location :
Registration No :
GRT/NRT :
YOB :
3. Engine data; PORT STARBOARD
Engine Maker VOLVO PENTA VOLVO PENTA
Engine/machine model /Type
Engine/machine Spec No
Engine/machine Serial No
and Arrangement No
Chasis ID/ Software No.
Engine/machine Service Meter Units (SMU)
readings
Alternator/Generator Maker
Alternator/Generator Type
Alternator/Generator Serial No
4. General Performance Test result; PORT STARBOARD
a. Dated
b. Max load
% KW % KW
beban maksimum
c. Oil Press
bar bar
tekanan oli
d. Oil Temperature
C C
temperatur minyak pelumas
e. FO consumption
Ltr/hr Ltr/hr
konsumsi bahan bakar
f. Coolant temp in
C C
temperatur pendingin masuk
g. Coolant temp out
C C
temperatur pendingin keluar
h. Fuel Pressure
bar bar
tekanan bahan bakar
4a. Failure quiz; PORT PORT
Failure description Yes No Remarks Yes No Remarks
a. engine doesn't start, starting motor works properly
mesin tidak mau menyala, motor starter bekerja dg baik
✔ ✔
b. engine doesn't start, starting motor doesn't work
mesin tidak mau menyala, motor starter tidak bekerja
✔ ✔
c. black smoke on warm engine
✔ ✔
asap hitam pada saat mesin beroperasi
d. white smoke on warm engine
asap putih pada saat mesin beroperasi
✔ ✔
e. bluish/grey smoke on warm engine
asap abu-abu pada saat mesin beroperasi ✔ ✔
f. coolant in sump
air pendingin masuk ke karter ✔ ✔
g. fuel in sump
minyak diesel masuk ke karter ✔ ✔
h. abnormal sound/noise of engine
suara tidak normal ✔ ✔
i. power loss
kehilangan daya ✔ ✔
j. increased oil consumption
konsumsi minyak pelumas berlebihan
✔ ✔
k. low engine oil pressure
tekanan minyak pelumas rendah
✔ ✔
l. engine overheating
engine kelebihan panas
✔ ✔
m. electronical failure
✔ ✔
komponen elektronik bermasalah
Common comments about failure
Acknowledged by, Request by,

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PT. HOKIMORO MARIN NUSANTARA

Office; Ruko Rungkut Makmur C58, Jalan Kali Rungkut No. 27, Phone. +62 31 8720147, +62 851 0333 7715, +62 811 444 736,
Surabaya 60293 - Indonesia