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FORM / FORMULIR |
No. Dokumen |
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GSI4-OPR-002F |
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| Revisi |
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0 |
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| P2H |
Tanggal Efektif |
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24-Juli-2023 |
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| BULLDOZER |
Halaman |
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1 |
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| BERIKAN TANDA |
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✔ |
JIKA KEADAAN BAIK |
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JIKA KEADAAN RUSAK |
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JIKA TIDAK ADA PADA PERALATAN |
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| EQUIP.
NO |
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BD.109 |
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NAMA |
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Sofyan |
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| DATE |
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25-Sep-2026 |
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START HM |
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3202.2 |
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| HM NEXT SERVICE |
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FINISH HM |
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✔ |
DAY SHIFT |
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NIGHT SHIFT |
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Tanda Tangan Operator |
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| KENDARAAN BERHENTI / MESIN MATI |
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MESIN
HIDUP |
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KENDARAAN
BERGERAK |
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| MESIN
MATI, PORSNELING NETRAL, REM PARKIR TERPASANG |
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PORSNELING NETRAL,REM PARKIR
TERPASANG |
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UNTUK UJI JALAN / GERAK |
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| KELILING, ATAS/BAWAH KENDARAAN |
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DI DALAM
KABIN |
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KENDARAAN
DIJALANKAN |
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✔ |
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✔ |
✖ |
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✔ |
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| 1 |
IDLER |
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FUNGSI
METERAN / INDIKATOR ALARM |
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1 |
STIR / KEMUDI |
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| 2 |
KAP & TRUNION PUSH ARM |
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1 |
LEVEL OLI MESIN |
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2 |
REM KAKI |
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| 3 |
FINAL DRIVE |
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2 |
LEVEL OLI TRANSMISI |
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3 |
GIGI PERSNELING |
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| 4 |
SEGMENT SPROCKET |
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3 |
LEVEL OLI PIVOTSHAFT |
✔ |
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4 |
KLAKSON MUNDUR |
✔ |
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| 5 |
PEMADAM API |
✔ |
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4 |
LEVEL OLI HIDROLIK |
✔ |
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5 |
LAMPU PERINGATAN |
✔ |
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| 6 |
LAMPU MUKA - BELAKANG |
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5 |
SEATS / TEMPAT DUDUK |
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6 |
EMS, CMS |
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| 7 |
TRACK |
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6 |
AIR CONDITIONER |
✔ |
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7 |
SISTEM HIDROLIK |
✔ |
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| 8 |
ROLLER TRACK |
✔ |
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7 |
TUAS KONTROL |
✔ |
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8 |
LAMPU PUTAR (STROBE) |
✔ |
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| 9 |
RIPPER |
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TROTTLE (GAS TANGAN) |
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BATTERY |
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PEDAL DECELATOR |
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10 |
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| 11 |
PIVOT SHAFT |
✔ |
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10 |
KEMUDI (STEERING CLUTCH) |
✔ |
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| 12 |
SARINGAN UDARA |
✔ |
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11 |
TUAS TRANSMISI |
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| 13 |
SILINDER TILT BLADE |
✔ |
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12 |
PEDAL REM |
✔ |
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UNTUK SEMUA OPERATOR |
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SILINDER LIFT BLADE |
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13 |
TUAS REM |
✔ |
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| 15 |
RUANG MESIN |
✔ |
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14 |
KLAKSON |
✔ |
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1 |
FORMULIR
INI HARUS DIISI SETELAH PERALATANNYA DIPERIKSA DAN KEMUDIAN DISERAHKAN KEPADA
PENGAWAS SETELAH BEROPERASI |
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TANGGA PEGANGAN |
✔ |
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KABIN OPERATOR |
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| 17 |
KABIN LUAR |
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16 |
LMAPU MUKA BELAKANG |
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| 18 |
KABIN OPERATOR |
✔ |
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LAMPU KABIN |
✔ |
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| 19 |
JENDELA, PINTU |
✔ |
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18 |
EMS, CMS |
✔ |
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2 |
DENGARKAN
DAN CATAT SUARA YANG TIDAK BAIK DARI MESIN MAUPUN PADA BAGIAN LAIN PERALATAN |
| 20 |
KIPAS KACA |
✔ |
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19 |
GAUGE |
✔ |
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| 21 |
KACA SPION |
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20 |
RADIO |
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| 22 |
HANDLE KONTROL |
✔ |
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21 |
MONITOR |
✔ |
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3 |
BUATLAH
WORK ORDER (WO) DAN SEGERA MASUKKAN KE WORKSHOP |
| 23 |
LEVEL OLI MESIN |
✔ |
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22 |
MIC |
✔ |
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| 24 |
LEVEL OLI HIDROLIK |
✔ |
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23 |
KABEL MIC |
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4 |
JIKA ADA
KERUSAKAN, TULIS DI KOLOM KETERANGAN DAN LAPORKAN KONDISI TEMUAN KE PADA
PENGAWAS |
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LEVEL AIR RADIATOR |
✔ |
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24 |
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| PERKAKAS / PERALATAN |
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DI LUAR
KABIN |
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| 1 |
PEMADAM API |
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✖ |
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1 |
KEBOCORAN OLI |
✔ |
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| 2 |
TALI PENGAMAN (SEAT BELT) |
✔ |
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2 |
KEBOCORAN AIR |
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| 3 |
TRICON |
✔ |
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3 |
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DIPERIKSA OLEH PENGAWAS |
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| 4 |
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KONDISI EQUIPMENT |
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| KEBERSIHAN |
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1 |
SUARA MESIN |
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| 1 |
KEBERSIHAN EQUIPMENT |
✔ |
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2 |
SUARA TRANSMISI |
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Nama Pengawas & Tanda Tangan |
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| Keterangan kerusakan : |
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Track shoe banyak yg patah, isi apar hbis dan ac tdk dingin |
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| OPERATOR YANG BAIK, SELALU MEMERIKSA DENGAN BENAR PERALATANNYA
SEBELUM DIOPERASIKAN OPERATOR MENGERTI BAHWA KESELAMATAN DIRINYA DAPAT
DITUNJANG PADA KONDISI PERALATAN YANG AKAN DIOPERASIKANNYA |
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