CHECK SHEET PERIODIK SERVICE

Machine Model Engine SN Day & Date

Machine SN Type PM Customers
Machine KM Machine HM Location
TYPE PM MODEL UNIT CHECK
ITEMS CODE
REMARKS
250 500 1000 2000 CMT96 CMT106
SAFETY :
* Always use personal protective equipment such as √ √ √ √ - -

a helmet, glasses, safety shoes and gloves - -

* Protect the environment by not throwing away √ √ √ √ - -

oil and grease carelessly - -

* Position the unit in a ftal and safe place √ √ √ √ - -

* Install wheel chocks and out of service tag √ √ √ √ - -

ENGINE :
* Change Engine Oil O O O O SAE 15 W-40 ( 27 L) SAE 15 W-40 ( 27 L )

* Change Engine Oil Filter O O O O 4190001633 ( 1 EA ) 4190001633 ( 1 EA )

* Change Fuel Filter W/Separator (30 Micron) O O O O FS 36230 ( 1 EA ) FS 36230 ( 1 EA )

* Change Fuel Filter W/Separator (30 Micron) O O O O 1000053558 ( 2 EA ) 1000053558 ( 2 EA )

* Change Fuel Filter W/Separator (10 Micron) O O O O 1000053557 ( 1 EA ) 1000053557 ( 1 EA )

* Change Fuel Filter (5 Micron) O O O O 1000053555 ( 1 EA ) 1000053555 ( 1 EA )

* Check Coolant Level √ √ √ √ Coolant (130 L) Coolant (130 L)

* Check/Adjust Engine Valve ∆ - -

* Check Tightness Belt Engine & Alternator √ √ √ √ - -

* Clean Up Air Cleaner Element Iner & Outer ◊ ◊ - -

* Change Air Cleaner Element (Outer) O O 4110002110 ( 1 EA ) 4110002110 ( 1 EA )

* Change Air Cleaner Element (Iner) O O 4110002111 (1 EA ) 4110002111 ( 1 EA )

HYDRAULIC & STEERING :

* Change Hydraulic Oil O L-HM46 (135 L) L-HM46 (135 L)

* Change Oil Breather Filter O O 4120000303 ( 1 EA ) 4120000303 ( 1 EA )

* Change Return Hydraulic Filter O O 4120001743 ( 1 EA ) 4120001743 ( 1 EA )

* Check Oil Level Hydraulic √ √ √ √ - -

* Check Oil Leaking √ √ √ √ - -

* Check Bolts, Joints and Locking Steering √ √ √ √ - -

* Check Pump, Hose & Clamp √ √ √ √ - -

* Check Nut & Rod Cylinder Lifting √ √ √ √ - -

* Check Nut & Rod Cylinder Tilt √ √ √ √ - -

TRANSMISSION :
* Change Oil Transmission O O ATF A26 295 (48 L) ATF A26 295 (48 L)

* Change Transmission Filter O O 4110702794003 ( 1 EA ) 4110702794003 ( 1 EA )

* Check Level Oil Transmissions √ √ √ √ - -

* Clean Magnetic Filter Screen ◊ ◊ - -

* Check Hose, Clamp & Mounting √ √ √ √ - -

BRAKES :
* Change Air Dryer Filter O 41200010860001 ( 1 EA ) 41200010860001 ( 1 EA )

* Check Service & Parking Brake Fungtions √ √ √ √ - -

* Check Retarder & Exhaust Brake Fungtions √ √ √ √ - -

* Drain Water At Air Tank Reservoir √ √ √ √ - -

* Check Tightness Pad Brake √ √ √ √ - -

* Check and Adjust Clereance of Brake √ √ √ √ - -

* Check Hose, Clamp & Bolt Brake √ √ √ √ - -

ELECTRICAL & AC :
* Check Fungtion Panel & Work lamp √ √ √ √ - -

* Check & Clean up Terminal Battery √ √ √ √ - -

* Check Tensioner Belt Alternator & AC √ √ √ √ - -

* Check Air Conditioner system √ √ √ √ - -

* Change Filter Air Conditioner O O 41907039550001 ( 1 EA ) 41907039550001

* Check & Clean up Condensor + Evapurator √ √ √ √ - -

* Check Condition Hose, Clamp & Dryer √ √ √ √ - -

AXLE, CHASSIS & TYRE :

* Change Oil Midle Axle √ √ O O GL-9 85W - 90 ( 46 L ) GL-9 85W - 90 ( 46 L )

* Change Oil Midle Rear Axle √ √ O O GL-9 85W - 90 ( 37 L ) GL-9 85W - 90 ( 37 L )

* Check Oil Level Midle Axle And Rear Axle √ √ √ √ - -

* Change Oil Filter Differential Midle Alxle O O 4110706533025 ( 1 EA ) 4110706533025 ( 1 EA )

* Check And Re-tighten Propeller Shaft Bolt √ √ √ √ - -

* Lubricating Grease All nipple Unit √ √ √ √ - -

* Check Spring & Bushing Torque rod √ √ √ √ - -

* Check Guide Spring & I Bolt Sping √ √ √ √ - -

* Check Crack or Chassis, Frame and Vessel √ √ √ √ - -

* Check Tyre Condition √ √ √ √ - -

* Check Tyre Pressure √ √ √ √ - -

CHECK CODE : O - CHANGE Δ - ADJUST √ - CHECK ◊ - CLEAN

Remarks :

( ………………………………. ) ( ………………………………. ) ( ………………………………. )

Mechanic Name Customers Name SDH Mitra LGMG

Keterangan : Jika pada saat PM ditemukan kerusakan Spare Parts dan perlu penggantian, mohon
diisi di kolom keterangan untuk ditindak lanjuti.