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    Form Inspek Kendaraan

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    Yayan Lesmana
    This document is a vehicle inspection checklist in Bahasa Indonesia. It lists 33 inspection items related to the vehicle's license, registration, safety equipment, lights, fluids, tires, and air conditioning. For each item, the inspector marks whether the condition is good, bad, or not available. The inspection is for a specific vehicle and includes details like the date, vehicle type, odometer reading, and inspector's name. It will be used to check the vehicle's compliance with safety standards and roadworthiness.

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    © All Rights Reserved
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    Form Inspek Kendaraan

    Uploaded by

    Yayan Lesmana
    212 views4 pages
    This document is a vehicle inspection checklist in Bahasa Indonesia. It lists 33 inspection items related to the vehicle's license, registration, safety equipment, lights, fluids, tires, and air conditioning. For each item, the inspector marks whether the condition is good, bad, or not available. The inspection is for a specific vehicle and includes details like the date, vehicle type, odometer reading, and inspector's name. It will be used to check the vehicle's compliance with safety standards and roadworthiness.

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    inspek

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    This document is a vehicle inspection checklist in Bahasa Indonesia. It lists 33 inspection items related to the vehicle's license, registration, safety equipment, lights, fluids, tires, and air conditioning. For each item, the inspector marks whether the condition is good, bad, or not available. The inspection is for a specific vehicle and includes details like the date, vehicle type, odometer reading, and inspector's name. It will be used to check the vehicle's compliance with safety standards and roadworthiness.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    212 views4 pages

    Form Inspek Kendaraan

    Uploaded by

    Yayan Lesmana
    This document is a vehicle inspection checklist in Bahasa Indonesia. It lists 33 inspection items related to the vehicle's license, registration, safety equipment, lights, fluids, tires, and air conditioning. For each item, the inspector marks whether the condition is good, bad, or not available. The inspection is for a specific vehicle and includes details like the date, vehicle type, odometer reading, and inspector's name. It will be used to check the vehicle's compliance with safety standards and roadworthiness.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    No.

    Revisi
    Tgl. Terbit

    PEMERIKSAAN / INSPEKSI KENDARAAN BERMOTOR


    VEHICLE INSPECTION

    Date / Tanggal :
    Police No / No Polisi :
    Odometer / Kilometer :
    Vehicle Type / Jenis Kendaran :

    Condition
    G B N
    1 Government Licence / SIM 17 Hand Brake / Rem Tangan
    2 STNK 18 Cabin Mirror / Kaca Spion Dalam
    3 First Aid Kit / P3K 19 Fire Extinguisher / Racun Api
    4 Front Plate / Plat No. Depan 20 Jack / Dongkrak
    Rear Plat / Plat No. Belakang 21 Jack Handle / Tangkai Dongkrak
    5 Inspection Book / Buku KIR (Pick - Up) 22 Tire Wrech / Kunci Roda
    6 Spare Tire / Ban Cadangan 23 Fan Belt / Tali Kipas
    7 Head Light or High Beam / Lambu Besar Jauh 24 Cuter Mirror / Kaca Spion
    a. Right / Kanan a. Right / Kanan
    b. Left / Kiri b. Left / Kiri
    8 Head light or Low Bem / Lampu Besar Dekat 25 Triangle / Segi Tiga Pengaman
    a. Right / Kanan 26 Engine Oil / Oli Mesin
    b. Left / Kiri 27 Radiator Cooling Water / Air Radiator
    9 Front Flaser Light / Lampu Tanda Belok Depan 28 Brake Oil / Minyak Rem
    a. Right / Kanan 29 Winsheild Wiper Water / Air Pembersih Kaca
    b. Left / Kiri 30 Battray Liquid / Air Bateray
    10 Rear Flaser Light / Lampu Tanda Belok Sekarang 31 Tire Pressure / Tekanan Ban
    a. Right / Kanan 32 a. Front Right & Left / Depan Kanan & Kiri
    b. Left / Kiri b. Back Right & Left / Depan Kanan & Kiri
    11 Brake or Stop Light / Lampu Rem Air Conditioner / AC
    a. Right / Kanan 33 Other / Lain - lain
    b. Left / Kiri

    12 Beck - Up Light / Lampu Mundur

    a. Right / Kanan

    b. Left / Kiri

    13 Vehicle No. Light / Lampu Plat No.

    14 Hazard Light / Lampu Bahaya

    15 Horn / Klakson

    16 Safety Belt / Sabuk Pengaman

    a. Front / Depan

    b. Back / Belakang

    Inspection Periode : Legend


    Inspected by : User / Driver : A knowledge by : G
    B
    N

    HSE General Affair


    :
    :

    MOTOR

    Condition
    G B N

    Air Radiator

    Air Pembersih Kaca

    pan Kanan & Kiri


    pan Kanan & Kiri
    : Good / Baik
    : Bad / Buruk
    : Not Available / Tidak dijumpai

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