PSCS
PT. MANDIANGIN BATU BARA
TEMPIRAI PROJECT
UNIT ENGINE
PERIODICAL SERVICE CHECK SHEET
Model Serial No. Code no. Model Serial no.
PERIODICAL SERVICE TYPE
HOUR METER READING
250 500 1000 2000
VOLVO
MACHINE LOCATION
DATE
VL20-017
7 Desember 2021
START ACTION
STOP ACTION
BERI TANDA " v " JIKA KONDISI BAIK DAN " X " JIKA KONDISI TIDAK BAIK
SERVICE TYPE
NO DESCRIPTION 250 500 1000 2000
Act Pic Act Pic Act Pic Act Pic
1 Change Oil Engine
2 Replace Engine Oil Filter
3 Replace By Pass Engine Oil Filter
4 Replace Fuel Filter
5 Replace Racor
6 Replace Water Separator
7 Change Filter Oil Transmision
8 Replace Air Cleaner Outer
9 Replace Air Driyer
10 Replace Filter Oil Power Steering
11 Replace Oil filter Differential
12 Replace Air Cleaner Outer And Inner
13 Replace Hydraulic Filter
14 Replace Hydraulic Return
15 Change Oil Transmision
16 Change Oil Final Drive ( Differential )
17 Change Oil Hydraulik
18 Check Oil Transmision
19 Check Oil Level in Differential
20 Check Oil Level in Hydraulik Tank
21 Check Fan Belt Tension
22 Drain Water and Sedimen from Fuel Tank
23 Check and Added of Battery Elektrolyte
24 Lubricating All Point of Nipple grease
25 Greasing Universal Joint ; King Pin; Bogie Spring
26 Check Tyre Pressure
27 Clean & Inspect Radiator Fins, After Cooler Fins
28 Check Brake Performance
29 Check and Added Water coolant at Radiator
30 Check Fuel Level
31 Check All Wiring Elektrik Sistem
32 Check AC ( Compressor, Evap, Dryer, Condensor )
33 Check Working lamp
34 Check Horn
35 Check All Tightening Point of Engine Exhaust Pipe
36 Clean and Check Turbocharger
37 Clean Engine Breather
38 Check Alternator and Starting Motor
39 Check Water Pump
Note :
CHECKED BY / SERVICE
250 500 1000 2000
PT. MANDIANGIN BATU BARA
TEMPIRAI PROJECT
FMX440
VL20-015
Proppeller Shaft : Chasis :
Brake Chamber : Front Spring :
Cabin : Rear Spring :
Roda : Pin Spring :
Shock Absorber :
V Stay :
hydraulic tank :
dump cylinder :
Vessel :
Tail vessel :
Hose D / cylinder :
Hot Vessel leakag :
Arm linkage :
Pin and bushing :
Floor vessel :
Sub Frame :
Body vessel :
CHECKED BY / SERVICE
250 500 1000 2000
MACHINE CHECK LIST
DUMP TRUCK
DATE CODE UNIT : HM / KM :
LOCATION : TYPE UNIT : BRAND UNIT :
SERVICE KONDISI KONDISI
NO COMPONENT NAME REMARK
CONDITION ADA TIDAK ADA BAGUS TIDAK BAGUS
1 Head lamp RH & LH Lampu Besar Kanan & Kiri
2 Brake lamp RH & LH Lampu rem kanan & Kiri
3 Sign lamp front RH & LH Lampu sen depan kanan & Kiri
4 Sign lamp rear RH & LH Lampu sen belakang kanan & Kiri
5 Wipper ARM/Blade Kipas Kaca
6 Backup alarm Alarm mundur
7 Wipper ARM/Blade Kipas Kaca
8 Ordinary klaxon / wind Klakson biasa / angin
9 Cabin lamp Lampu kabin dalam
10 Parking brake lamp Lampu Rem tangan
11 Fuel gauge Amper Minyak / fuel
12 Oil Level gauge Amper level Oli
13 Oil pressure gauge Amper tekanan oli
14 Temperature gauge Amper panas
15 KM/HM KM/HM
16 Rotary Lamp Lampu Rotari
17 Roda Cadangan Ban serep
18 Fuel Solar
19 Attachment Perlengkapan Kerja
20 APAR 3 kg Alat Pemadam
21 Radio Communication Radio
22 DLL Another
CORRECTION ACTION :
DIPERIKSA OLEH DISETUJUI OLEH DIKETAHUI OLEH
( NAMA DAN TANDA TANGAN ) ( ) ( )
ELECTRIC SUPERVISOR SUPERINTENDENT
Beri Tanda centang pada kolom di atas sesuai kondisi sebenarnya
CHECK LIST INSPECTION COMPONENT AIR CONDITIONER
DATE : ______________________ CODE UNIT : ______________________ HM / KM
LOCATION : ______________________ TYPE UNIT : ______________________ BRAND UNIT
SERVICE PS I PS II PS III PS IV
NO COMPONENT NAME REMARK
CONDITION GOOD BAD GOOD BAD GOOD BAD GOOD BAD
1 COMPRESSOR
2 RECIVER DRIYER
3 CONDENSOR
4 EVAPURATOR
5 EXSPANTION VALVE
6 AC PIPING
7 AC HOSE
8 ELECTRIC WIRRING
9 THERMOSTAT
10 SWITCH
11 MAGNET CLUTCH
12 AIR FILTER
13 V-BELT
14 MOTOR BLOWER
15 LAIN -LAIN
CORRECTION ACTION :
CHECK BY APPROVED APPROVED
NAMA & TANDA TANGAN NAMA & TANDA TANGAN NAMA & TANDA TANGAN
MECHANIC SUPERVISOR DEPT.HEAD PLANT
NOTES : BERI TANDA ( √ = OK ), ( = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR )
FM/BPP/PLANT/005 REV.00
FORM CHECK BATTERY
CODE UNIT : BRAND :
TYPE UNIT : LOCATION :
DATE : HM / KM :
MANUFACTURER PART NO / CODE AMPERE
TYPE BATTERY QTY BATTERY VOLTAGE
TERMINAL BATTE 1 2 CONDITION ELECTROLYTE
+ - + -
GOOD / BAD
LOW LEVEL
CABLE BATTERY 1 2 OVER ADD LITTER
+ - + -
GOOD / BAD
COVER BATTERY
CORRECTION ACTION :
DATE :
CHECK BY APPROVED BY APPROVED BY
nama & tanda tangan nama & tanda tangan nama & tanda tangan
( ____________________________ ) ( __________________________________________ ) ( __________________________________ )
MECHANIC / FOREMAN SUPERVISOR PLANT DEPT.HEAD PLANT
WHEEL INSPECTION SHEET
UNIT NO. __________________ MODEL: _______________ DATE:_______________
SMU: KM :
PASANG 'OUT OF SERVICE' , 'DANGER TAG' DAN 'GANJAL BAN' ( Install 'out of service', 'Danger Tags' & 'Wheel Chock' )
PRESSURE CONDITION VALVE CAP
RIM BRANDING TREAD
POS. TYRE SIZE /PLY BRAND Tyre SERIAL No. PATTERN TYPE ada P REMARKS
NO. DEPTH ACTUAL ADJUST HOT COLD
kosong X
1 /
2 /
3 /
4 /
5 /
6 /
7 /
8 /
9 /
10 /
11 /
12 /
CONDITION P
JOB DESCRIPTION REMARKS
BAGUS JELEK
13 Periksa kondisi rim (Check condition rim)
R Base Rim
R Flange
R Lock Ring
14 Periksa kondisi valve dan valve cap (Check condition valve and and valve cap)
15 Periksa kondisi tempat pasangan valve (Check condition of valve bracket) Harus ada tulis LUAR dan DALAM de tempat bracket.
16 Periksa kondisi baut dan mur (Check condition bolt and nut)
17 Periksa kondisi rock ejector: lurus / bengkok / tipis (check rock ejector condition: straight / bended / worn out)
18 Periksa kondisi valve extension safety cover untuk ban posisi 4 dan 5 (kalau penyok harus di ganti)
Nama & Tanda Tangan Nama & Tanda Tangan
TYREMAN TYREMAN / TYRE SUPERVISOR
SCHEDULED BREAKDOWN UNITS
JOB DONE DESCRIBTION
BACK LOG AND PENDING JOB DESCRIBTION
REQUIRED PARTS
NO PART NUMBER DESCRIPTION QTY REMARKS
Service. Name/Signature Service. Sup'v
Mech. Name/Signature Mech. Sup'v
Elect. Name/Signature Elect. Sup'v
Tyre. Name/Signature Tyre. Sup'v
Note:
KWB : Known Work Book
PRF : Part Recommended Form Date :
N/A : Not Available
KSB-
-02
Electric system Check List
Dump Truck
PMC/FRM/PLANT/19 REV.00
DATE : ______________________ CODE UNIT : ______________________ HM / KM : ______________________
LOCATION : ______________________ TYPE UNIT : ______________________ BRAND UNIT : ______________________
SERVICE PS I PS II PS III PS IV
NO COMPONENT NAME REMARK
CONDITION GOOD BAD GOOD BAD GOOD BAD GOOD BAD
1 Head lamp RH Lampu Besar Kanan
2 Head lamp LH Lampu Besar Kiri
3 Brake lamp LH Lampu rem kiri
4 Brake lamp RH Lampu rem kanan
5 Sign lamp front LH Lampu sen depan kiri
6 Sign lamp front RH Lampu sen depan kanan
7 Sign lamp rear LH Lampu sen belakang kiri
8 Sign lamp rear RH Lampu sen belakang kanan
9 Cabin lamp Lampu kabin dalam
10 Wipper ARM/Blade Kipas Kaca
11 Ordinary klaxon / wind Klakson biasa / angin
12 Backup alarm Alarm mundur
13 Parking brake lamp Lampu Rem tangan
14 Fuel gauge Amper Minyak / fuel
15 Oil Level gauge Amper level Oli
16 Oil pressure gauge Amper tekanan oli
17 Temperature gauge Amper panas
18 KM/HM KM/HM
19 Rotary Lamp Lampu Rotari
20 Radio Communication Radio
21 Lain - lain
CORRECTION ACTION :
CHECK BY APPROVED APPROVED
( ) ( ) ( )
MECHANIC SUPERVISOR DEPT.HEAD PLANT
NOTES : BERI TANDA ( √ = OK ), ( = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR )
