PT.

MANDIANGIN BATU BARA

PSCS
UNIT ENGINE PERIODICAL SERVICE
Model Serial No. Code no. Model Serial no. CHECK SHEET

PERIODICAL SERVICE TYPE 250 500 1000 2000

HOUR METER READING
MACHINE LOCATION
DATE
START ACTION FT-001
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 STRAIN FUEL PRE FILTER
8 Replace Air Driyer
9 Replace Filter Oil Power Steering
10 Replace Oil filter Differential
11 Replace Air Cleaner
12 Replace Hydraulic Filter
13 Replace Hydraulic Return
14 Change Oil Transmision
15 Change Oil Final Drive ( Differential )
16 Change Oil Hydraulik
17 Check Oil Transmision
18 Check Oil Level in Differential
19 Check Oil Level in Hydraulik Tank
20 Check Fan Belt Tension
21 Drain Water and Sedimen from Fuel Tank
22 Check and Added of Battery Elektrolyte
23 Lubricating All Point of Nipple grease
24 Greasing Universal Joint ; King Pin; Bogie Spring
25 Check Tyre Pressure
26 Clean & Inspect Radiator Fins, After Cooler Fins
27 Check Brake Performance
28 Check and Added Water coolant at Radiator
29 Check Fuel Level
30 Check All Wiring Elektrik Sistem
31 Check AC ( Compressor, Evap, Dryer, Condensor )
32 Check Working lamp
33 Check Horn
34 Check All Tightening Point of Engine Exhaust Pipe
35 Clean and Check Turbocharger
36 Clean Engine Breather
37 Check Alternator and Starting Motor
38 Check Water Pump
Note :

CHECKED BY / SERVICE
250 500 1000 2000
 PT MANDIANGIN BATUBARA
Plant Department - Job MBB site Tempirai

UNIT MODEL
CODE NOMOR OF UNIT
UNIT LOCATION
HOURS METER
FT-001
DATE

CONDITION
No DESCRIPTION A B C D E F G REMARK
OK BAD
1 Engine
2 Fuel System
3 Cooling System
4 Air System
5 Steering Pump
6 Steering Cylinder
7 Transmission
8 Retarder
9 Disc clutch
10 Propeller Shaft
11 Front differential
12 Rear differential
13 Hub Reduction
14 Front Brake
15 Rear Brake
16 Front Suspenssion Lh / Rh
17 Rear Suspenssion Lh / Rh
18 V-stay
19 Torque rod Lh/Rh
20 Hydraulic Pump
21 Hoist Cyllinder Dump
22 Cabin Suspension
23 Electrical System
24 All Instrument Panel
25 Air Conditioner
26 Main Frame
27 Bogie Shaft
28 Fuel Tank and mounting
29 Lubrication Tire Rod Rh / Rh
30 Lubrication Kin Pin LH / Rh
31 Lubrication Pin Spring Lh / Rh
32 Lubrication Hoist Cylinder
33 Lubrication Suspension Lh / Rh
34 Check All Nipple Grease

BACKLOG RECOMMENDED (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya)
BACKLOG PARTS ORDER
NO COMPONENT By STATUS
DESCRIPTION Part Number Part Name Qty

Give "v" If OK And "x" If BAD

NOTE :
A Aus
B Bocor / Leak Recorded By, Checked By,
C Crack / Retak
D Blocked / Buntu
E Noise
F Bending / bengkok
G Missing / Hilang (………………………….) ( ………...…...…………...)
Mechanic Foreman / Supervisor
 PSCS
PT. MANDIANGIN BATU BARA
SRI GUNUNG PROJECT
TRUCK TANK

Proppeller Shaft : Chasis :

Brake Chamber : Front Spring :
Cabin : Rear Spring :
Roda : Pin Spring :
Shock Absorber :
V Stay :

Mounting Chassis :
Vessel :
Tail vessel :
Body vessel :
Flow meter :

Lines flow :
Pin and bushing Tank :
Floor vessel / tank :
Sub Frame :
Body tank :
Step Ladder :
Cap Manhole :
Valve tank :

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 HOD MECHANICAL

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 BATTERY 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
 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 )