Form Inspeksi Compactor

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COMPACTOR INSPECTION CHECK LIST

Product Identification : Company :


Model No : Contract No :
Engine No : Date of Inspection:
Frame No : Location of Inspc :

No. ITEM CHECKED / BAGIAN YANG DIPERIKSA Remarks

A DRIVER INFORMATION / Informasi Pengemudi


1 Name of Operator / Nama Operator

2 Operator Licence Number / No SIO Operator

3 Class of Driving Licence / Jenis SIO

4 Expire Licence / Masa Berlaku SIO

B VEHICLE INFORMATION / Informasi Kendaraan


1 Licence Plate / Nomor Polisi

2 SILO Valid to / Masa Berlaku SILO

3 Type of Vehicle-Merk /Tipe Kendaraan - Merek

4 Year of Built / Tahun pembuatan


ITEM CHECKED Availability Condition
No. Remarks
BAGIAN YANG DIPERIKSA Yes No Good Fair Poor
Ada Tidak Bagus Kurang Jelek
C VEHICLE CONDITION / Kondisi Kendaraan
1 Km Driven / Kilometer tempuh

2 Glass / Kaca:

2.1 Windshield / Kaca depan

2.2 Rear Window / Kaca belakang

2.3 Side Window / Kaca samping

Windshield wiper / karet pembersih kaca depan

3 Mirror / Spion

3.1 Side / Samping

- Left / Kiri

- Right / Kanan

4 Light / Lampu

4.1 Head / Depan

4.2 Tail / Belakang

4.3 Parking / Parkir

4.4 Indicator - Sign / Signal

4.5 Break / Rem

4.6 Rotary Lamp / lampu putar

5 Door Condition / Kondisi pintu

6 Type of Tire / Tipe Ban

6.1 Mud Type / Type Mud

6.1.1 Front / Depan

6.1.2 Rear / Belakang

7 Valve Tire Cap / Penutup lubang angin ban


ITEM CHECKED Availability Condition
No. Remarks
BAGIAN YANG DIPERIKSA Yes No Good Fair Poor
Ada Tidak Bagus Kurang Jelek
8 Gas / fuel tank door / lid - Gas / Penutup tanki bahan bakar

9 Fuel tank, any leak ? / Tangki bahan bakar, ada kebocoran?

10 Engine / Mesin

11 Exhaust / Knalpot

12 Accu / Aki Electric System

13 Horn / Klakson

14 Safety belt / Sabuk pengaman

15 Speedometer / Speedometer
16 Break / Rem
17 Fuel indicator / Indikator bahan bakar

18 Drum Width / Lebar Drum : 2,134 mm / 84"

19 Gross Power / Tenaga (Maks ) :108 kW / 145 HP

20 Net Power / Tenaga Optimum: 103 kW / 138 HP

21 Operating Weight / Beban Operasi: 10,180 KG / 22,400 Lbs.

22 Engine : Turbo Charged Diesel Engine / Mesin menggnakan mesin turbo


Transmission : Planetary Power Shift / Transmisi : menggunakan
23
pergeseran maju -mundur

1 ea 6 Meter x 7/8" heavy duty chain c/w 2 ea cleaves grab hook on each
24 chain / 1 buah, 6 M x 7/8" rantai pengikat beban berat dengan 2 buah
pengunci pengikat yg ada pengait

25 2 each 3/4" Crosby anchor shackles / 2 Buah 3/4" Shakle Crosby

26 Nut & Bolt Tire / Baut dan Mur Roda

27 V-Belt Engine / V - belt mesin

28 Transmission System / Sistim transmisi

29 Fire Extinguisher / Racun api

30 Manufacture’s Tool Kit / Perkakas

31 Vehicle Jack / Dongkrak

32 Safety Triangle / Segitiga pengaman

33 First Aid / P3K

34 Operator & Helper PPE / PPE Operator dan pembantunya

- Mechanical findings :

- Overall condition : GOOD FAIR POOR

- Conclusion 1. Meet / Not meet contract spec.


2. Meet contract spec but on condition (specify) :

Inspected by,

Operator Supervisor Area Inspector SHE Supervisor

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