PT.

KTC COAL MINING & ENERGY

SITE PROJECT NANTOY BARA LESTARI
Service Sheet 5000 Hours - Laight Vehicle -
Unit Model Extra Cabin Location Workshop
Unit No 5698 Date - Time In
Hour Meter Date - Time Out
Spare Parts
Part No Uraian Jumlah Satuan
1230A045A Oil Filter 1 pcs
1770A338 Fuel Filter 1 pcs

Oil Consumables
Jenis Oli Uraian Jumlah Satuan

Kondisi
Uraian Pekerjaan Keterangan
Oke Tidak
Service
Change Engine Oil (Ganti Oli Mesin)
Change Oil Filter (Ganti Oli Filter)
Check Level Water Coolant (Periksa Tingkat Water Coolant)
Pengegrisan Unit (Greasing Unit)
Safety
Fire Extinguisher (Tabung Pemadam kebakaran)
First Aid Kit (Perlengkapan P3K)
Ladders & Steps (Tangga & Tempat Pijakan)
Operator's Seat & Adjustable (Tempat Duduk Operator)
Seat belt (Sabuk Pengaman)*
Mirror (Spion)
Horn (Klakson)
Rotary Light / Strobe Light (Lampu Rotari)
Reverse Alarm (Alarm Mundur)*
Safety Guard (Tutup Pengaman) - Fan, Belt, Driveshaft, Radiator etc.

All Warning Tags/Safety Labels Fitted & Clear (Tanda/Label Peringatan Tersedia & Jelas )

ENGINE

Check all drive belts: fan, a/c, guards etc (Periksa semua tali pemutar: kipas, dll)

Check radiator core condition (Periksa kondisi core radiator)

Check radiator water coolant level (Periksa permukaan air pendingin radiator)

Check radiator hoses and clamps (Periksa slang-slang & clamp radiator )

Check engine oil level (Periksa level oli mesin)

Inspect engine mounts (Periksa dudukan mesin)
Inspect Fuel System (Periksa Sistem Bahan Bakar)
Inspect Air Induction System (Periksa Sistem Pemasukan Udara)
Inspect Exhaust System ( Periksa Sistem Pembuangan)
POWER TRAIN
Check Transmission Oil Level (Periksa level oli transmisi)
Check Steering System (Periksa sistem steering)*
Check circle and circle blade (Periksa circle dan circle blade)
Check oil leak at torque converter (Periksa kebocoran oli pada torque converter)
Check Brake System (Periksa sistem rem)*
Check Tyre Condition (Periksa kondisi ban)*
Hydraulic System
Check Hydraulic Oil Level (Periksa level oli hidrolik)
Check Hoses clamps (Perilksa klem selang-selang)

1
 Kondisi
Uraian Pekerjaan Keterangan
Oke Tidak
Check Pipes (Periksa pipa-pipa)
Check Leakages (Periksa kebocoran-kebocoran)
Attachment
Check GET (Periksa GET)
Pin & Bushings (Pin & Bushing)
Fitting, Connection Coupling (Fitting, Sambungan)
Mounting (Dudukannya)
Retainer Bolts (Baut-baut Pengikat)
Electrical
Control System (Sistem pengontrol)
Starting System (Sistem Start)
Charging System (Sistem Pengisian)
Lighting System (Sistem Penerangan)
Cable & Harnesses (Kabel & harness)
Comment for futher analysis : Hasil Analisa

Diperiksa Oleh : Diketahui Oleh By :

Mekanik Chef Mechanic

2
 PT. KTC COAL MINING & ENERGY
SITE PROJECT NANTOY BARA LESTARI
Service Sheet 10000 Hours - Laight Vehicle - Mitsubishi Triton
Unit Model Mitsubishi Location Workshop
Unit No 56108 Date - Time In
Hour Meter Date - Time Out
Spare Parts
Part No Uraian Jumlah Satuan
1230A045A Oil Filter 1 pcs
1770A338 Fuel Filter 1 pcs
1500A098A Air Cleaner 1 pcs
Oil Consumables
Jenis Oli Uraian Jumlah Satuan

Kondisi
Uraian Pekerjaan Keterangan
Oke Tidak
Service
Change Engine Oil (Ganti Oli Mesin)
Change Oil Filter (Ganti Oli Filter)
Check Level Water Coolant (Periksa Tingkat Water Coolant)
Pengegrisan Unit (Greasing Unit)
Safety
Fire Extinguisher (Tabung Pemadam kebakaran)
First Aid Kit (Perlengkapan P3K)
Ladders & Steps (Tangga & Tempat Pijakan)
Operator's Seat & Adjustable (Tempat Duduk Operator)
Seat belt (Sabuk Pengaman)*
Mirror (Spion)
Horn (Klakson)
Rotary Light / Strobe Light (Lampu Rotari)
Reverse Alarm (Alarm Mundur)*
Safety Guard (Tutup Pengaman) - Fan, Belt, Driveshaft, Radiator etc.

All Warning Tags/Safety Labels Fitted & Clear (Tanda/Label Peringatan Tersedia & Jelas )

ENGINE

Check all drive belts: fan, a/c, guards etc (Periksa semua tali pemutar: kipas, dll)

Check radiator core condition (Periksa kondisi core radiator)

Check radiator water coolant level (Periksa permukaan air pendingin radiator)

Check radiator hoses and clamps (Periksa slang-slang & clamp radiator )

Check engine oil level (Periksa level oli mesin)

Inspect engine mounts (Periksa dudukan mesin)
Inspect Fuel System (Periksa Sistem Bahan Bakar)
Inspect Air Induction System (Periksa Sistem Pemasukan Udara)
Inspect Exhaust System ( Periksa Sistem Pembuangan)
POWER TRAIN
Check Transmission Oil Level (Periksa level oli transmisi)
Check Steering System (Periksa sistem steering)*
Check circle and circle blade (Periksa circle dan circle blade)
Check oil leak at torque converter (Periksa kebocoran oli pada torque converter)
Check Brake System (Periksa sistem rem)*
Check Tyre Condition (Periksa kondisi ban)*
Hydraulic System
Check Hydraulic Oil Level (Periksa level oli hidrolik)
Check Hoses clamps (Perilksa klem selang-selang)
Check Pipes (Periksa pipa-pipa)
Check Leakages (Periksa kebocoran-kebocoran)

3
 Kondisi
Uraian Pekerjaan Keterangan
Oke Tidak
Attachment
Check GET (Periksa GET)
Pin & Bushings (Pin & Bushing)
Fitting, Connection Coupling (Fitting, Sambungan)
Mounting (Dudukannya)
Retainer Bolts (Baut-baut Pengikat)
Electrical
Control System (Sistem pengontrol)
Starting System (Sistem Start)
Charging System (Sistem Pengisian)
Lighting System (Sistem Penerangan)
Cable & Harnesses (Kabel & harness)
Comment for futher analysis : Hasil Analisa

Diperiksa Oleh : Diketahui Oleh By :

Mekanik Chef Mechanic

4
 PT. KTC COAL MINING & ENERGY
SITE PROJECT NANTOY BARA LESTARI
Service Sheet 20000 Hours - Laight Vehicle - Extra cabin
Unit Model Extra Cabin Location Workshop
Unit No 56108 Date - Time In
Hour Meter Date - Time Out
Spare Parts
Part No Uraian Jumlah Satuan
1230A045A Oil Filter 1 pcs
1770A338 Fuel Filter 1 pcs
1500A098A Air Cleaner 1 pcs
Oil Consumables
Jenis Oli Uraian Jumlah Satuan

Kondisi
Uraian Pekerjaan Keterangan
Oke Tidak
Service
Change Engine Oil (Ganti Oli Mesin)
Change Oil Filter (Ganti Oli Filter)
Check Level Water Coolant (Periksa Tingkat Water Coolant)
Pengegrisan Unit (Greasing Unit)
Safety
Fire Extinguisher (Tabung Pemadam kebakaran)
First Aid Kit (Perlengkapan P3K)
Ladders & Steps (Tangga & Tempat Pijakan)
Operator's Seat & Adjustable (Tempat Duduk Operator)
Seat belt (Sabuk Pengaman)*
Mirror (Spion)
Horn (Klakson)
Rotary Light / Strobe Light (Lampu Rotari)
Reverse Alarm (Alarm Mundur)*
Safety Guard (Tutup Pengaman) - Fan, Belt, Driveshaft, Radiator etc.

All Warning Tags/Safety Labels Fitted & Clear (Tanda/Label Peringatan Tersedia & Jelas )

ENGINE

Check all drive belts: fan, a/c, guards etc (Periksa semua tali pemutar: kipas, dll)

Check radiator core condition (Periksa kondisi core radiator)

Check radiator water coolant level (Periksa permukaan air pendingin radiator)

Check radiator hoses and clamps (Periksa slang-slang & clamp radiator )

Check engine oil level (Periksa level oli mesin)

Inspect engine mounts (Periksa dudukan mesin)
Inspect Fuel System (Periksa Sistem Bahan Bakar)
Inspect Air Induction System (Periksa Sistem Pemasukan Udara)
Inspect Exhaust System ( Periksa Sistem Pembuangan)
POWER TRAIN
Check Transmission Oil Level (Periksa level oli transmisi)
Check Steering System (Periksa sistem steering)*
Check circle and circle blade (Periksa circle dan circle blade)
Check oil leak at torque converter (Periksa kebocoran oli pada torque converter)
Check Brake System (Periksa sistem rem)*
Check Tyre Condition (Periksa kondisi ban)*
Hydraulic System
Check Hydraulic Oil Level (Periksa level oli hidrolik)
Check Hoses clamps (Perilksa klem selang-selang)
Check Pipes (Periksa pipa-pipa)
Check Leakages (Periksa kebocoran-kebocoran)

5
 Kondisi
Uraian Pekerjaan Keterangan
Oke Tidak
Attachment
Check GET (Periksa GET)
Pin & Bushings (Pin & Bushing)
Fitting, Connection Coupling (Fitting, Sambungan)
Mounting (Dudukannya)
Retainer Bolts (Baut-baut Pengikat)
Electrical
Control System (Sistem pengontrol)
Starting System (Sistem Start)
Charging System (Sistem Pengisian)
Lighting System (Sistem Penerangan)
Cable & Harnesses (Kabel & harness)
Comment for futher analysis : Hasil Analisa

Diperiksa Oleh : Diketahui Oleh By :

Mekanik Chef Mechanic