PT.

BRAWIJAYA SANGATTA IZVIRALI DATE/TGL

CAR INSPECTION CHECK LIST / DAFTAR INSPEKSI KENDARAAN 29 /04/2024

DRIVER NAME : Agus TYPE OF CAR : Doble cabin

CAR PLAT NUMBER :KT.2857 K.M. NUMBER :
Note : G = Good/ Baik F = Fair/ Cukup B = Bad/ Buruk, N.A = Not Available/ Not Checked/Tidak tersedia/ Tidak diperiksa

N ITEMS G F B NA NO ITEMS G F B NA
O
ELECTRICAL G F B NA FLUIDS G F B NA
1 BATTERY/ACCU √ 33 ENGINE OIL / OLI MESIN √
2 HEAD LAMP / LAMPU BESAR & DIM √ 34 TRANSMISSION OLIL / OLI TRANSMISI √
3 BRAKE LAMP / LAMPU REM √ 35 DIFFERENTIAL OIL / OLI GARDAN √
4 SIGNAL LAMP / LAMPU RETING √ 36 POWER STEERING OIL / OLI POWER STEERING √
5 REVERSE LAMP / LAMPU MUNDUR √ 37 BRAKE FLUID / MINYAK REM √
6 PLAT NUMBER LAMP / LAMPU NO PLAT √ 38 CLUTCH OIL / OLI KOPLING √
7 LUGGAGE LAMP / LAMPU BAGASI √ 39 RADIATOR FLUID / CAIRAN RADIATOR √
8 INTERIOR LAMP / LAMPU KABIN √ 40 BATTERY WATER / CAIRAN ACCU √
9 AIR CONDITIONER / AC √ ENGINE / MESIN G F B NA

10 SPEED AND RPM INDICATORS √ 41 STARTING SYSTEM / SISTEM START √

11 TEMPERATUR INDICATOR / INDIKATOR SUHU √ 42 ENGINE RUNNING / MESIN HIDUP √
12 FUEL INDICATOR / INDIKATOR BAHAN BAKAR √ 43 FUEL SYSTEM / SISTEM BAHAN BAKAR √
13 FRONT SHIELD WIPPER / WIPPER KACA DEPAN √ 44 COOLING SYSTEM / SYSTEM PENDINGIN √
14 HORN / KLAKSON √ 45 LUBRICANT SYSTEM / SISTEM PELUMASAN √
15 REVERSE MIRROR (RIGHT/LEFT/INSIDE) / √ 46 ENGINE MOUNTING / PONDASI MESIN √
16 KACA SPION (KANAN/KIRI/DALAM) √ 47 POWER STEERING V BELT √
BRAKE SYSTEM / SYSTEM REM G F B NA 48 ENGINE FAN BELT / TALI KIPAS MESIN √
17 FRONT BRAKES / REM DEPAN √ 49 AIR CONDITIONER V BELT / TALI AC √
18 REAR BRAKES / REM BLAKANG √ 50 EXHAUST SYSTEM / SISTEM KNALPOT √
19 HAND BRAKES / REM TANGAN √ 51 SEAL AND GASKET / KARET SEAL & GASKET √
TYRES / BAN G F B NA CLUTCH / KOPLING G F B NA
20 FRONT TYRES / BAN DEPAN √ 52 CLUTCH SYSTEM / SISTEM KOPLING √
21 REAR TYRES / BAN BELAKANG √ 53 MASTER CLUTCH / POMPA KOPLING √
22 SPARE TYRE / BAN CADANGAN √ 54 PEDAL CLUTCH / PEDAL KOPLING √
23 VELG √ STEERING / SETIR G F B NA
BODY / DOORS/ SEAT G F B NA 55 STEER / KEMUDI √
24 FUNCTION OF DOORS KEYS / KUNCI PINTU √ 56 POWER STEERING PUMP √
25 DOORS SYSTEM / SISTEM PINTU √ TOOLS / PERLENGKAPAN G F B NA

26 SEAT CONDITION / KONDISI KURSI √ 57 JACK / DONGKRAK √

27 BODY CONDITION / KONDISI BODY √ 58 WHEEL WRENCH HANDLE / KUNCI BAN √
28 SAFETY BELT / SABUK PENGAMAN √ 59 SAFETY TRIANGLE / SEGI TIGA PENGAMAN √
SHOCK ABSORBER / PEREDAM KEJUT G F B NA 60 FIRE EXTINGUISHER / PEMADAM API RINGAN √
29 FRONT SHOCK ABSORBER / PEREDAM DEPAN √ 61 FIRST AID BOX / KOTAK P3K √
30 REAR SHOCK ABSORBER / PEREDAM BELAKANG √ DOCUMENTS / SURAT-SURAT G F B NA

31 FRONT SPRING / PER DEPAN √ 62 CAR PAPERS / STNK √

32 REAR SPRING & PLATE / PER & PLAT BELAKANG √ 63 INSPECTION BOOK / BUKU KEUR LLAJ √
COMMENT/ KOMENTAR :
Safety PJO