 |
FORM / FORMULIR |
No. Dokumen |
: |
GSI4-OPR-002G |
|
| Revisi |
: |
0 |
|
| P2H |
Tanggal Efektif |
: |
24-Juli-2023 |
|
| EXCAVATOR |
Halaman |
: |
1 |
|
| |
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| BERIKAN TANDA |
: |
✔ |
JIKA KEADAAN BAIK |
|
|
✖ |
JIKA KEADAAN RUSAK |
|
|
- |
JIKA TIDAK ADA PADA PERALATAN |
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| EQUIP.
NO |
|
|
: |
EX.204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
NAMA |
|
: |
Muh. Habib |
|
|
| DATE |
|
|
|
|
: |
04-Sep-2025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
START HM |
: |
13669.5 |
|
|
| HM NEXT SERVICE |
: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
FINISH HM |
: |
|
|
|
| |
 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DAY SHIFT |
|
✔ |
NIGHT SHIFT |
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
Tanda Tangan Operator |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
| |
| KENDARAAN BERHENTI / MESIN MATI |
|
MESIN
HIDUP |
|
KENDARAAN
BERGERAK |
|
| MESIN
MATI, PORSNELING NETRAL, REM PARKIR TERPASANG |
|
PORSNELING NETRAL,REM PARKIR
TERPASANG |
|
UNTUK UJI JALAN / GERAK |
|
|
|
| |
|
|
|
|
|
| KELILING, ATAS/BAWAH KENDARAAN |
|
DI DALAM
KABIN |
|
KENDARAAN
DIJALANKAN |
|
| |
|
|
|
|
|
| |
✔ |
✖ |
|
|
✔ |
✖ |
|
|
✔ |
✖ |
|
| 1 |
TRACK |
✔ |
|
|
FUNGSI
METERAN / INDIKATOR ALARM |
|
1 |
STIR / KEMUDI |
✔ |
|
|
| 2 |
ROLLER TRACK |
✔ |
|
|
1 |
LEVEL OLI MESIN |
✔ |
|
|
2 |
KLAKSON TRAVEL |
✔ |
|
|
| 3 |
IDLER |
✔ |
|
|
2 |
LEVEL OLI HIDROLIK |
✔ |
|
|
3 |
EMS / CMS |
✔ |
|
|
| 4 |
SPROCKET |
✔ |
|
|
3 |
LEVEL OLI SWING |
✔ |
|
|
4 |
SISTEM HIDROLIK |
✔ |
|
|
| 5 |
MOTOR TRAVEL |
✔ |
|
|
4 |
SEATS / TEMPAT DUDUK |
✔ |
|
|
5 |
LAMPU PERINGATAN |
✔ |
|
|
| 6 |
TANGGA PEGANGAN |
✔ |
|
|
5 |
AC |
✔ |
|
|
6 |
LAMPU PUTAR (STROBE) |
✔ |
|
|
| 7 |
LAMPU MUKA / BELAKANG |
✔ |
|
|
6 |
KEMUDI / STIR |
✔ |
|
|
7 |
|
|
|
|
| 8 |
SELANG / PIPA HIDROLIK |
✔ |
|
|
7 |
GAS TANGAN (THROTTLE) |
✔ |
|
|
8 |
|
|
|
|
| 9 |
TANGKI HIDROLIK |
✔ |
|
|
8 |
TUAS REM PARKIR |
✔ |
|
|
9 |
|
|
|
|
| 10 |
BUCKET, GIGI BUCKET |
✔ |
|
|
9 |
TUAS KONTROL |
✔ |
|
|
10 |
|
|
|
|
| 11 |
BOOM BUCKET |
✔ |
|
|
10 |
KLAKSON |
✔ |
|
|
|
|
|
|
|
| 12 |
STICK ARM BUCKET |
✔ |
|
|
11 |
KABIN OPERATOR |
✔ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 13 |
BATTERY |
✔ |
|
|
12 |
LAMPU MUKA / BELAKANG |
✔ |
|
|
UNTUK SEMUA OPERATOR |
| 14 |
RUANG MESIN |
✔ |
|
|
13 |
LAMPU KABIN |
✔ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 15 |
INDIKATOR SARINGAN UDARA |
✔ |
|
|
14 |
EMS, CMS |
✔ |
|
|
1 |
FORMULIR
INI HARUS DIISI SETELAH PERALATANNYA DIPERIKSA DAN KEMUDIAN DISERAHKAN KEPADA
PENGAWAS SETELAH BEROPERASI |
| 16 |
PEMADAM API |
✔ |
|
|
15 |
SWITCH WORK MODE |
✔ |
|
|
|
| 17 |
KABIN OPERATOR |
✔ |
|
|
16 |
SWITCH POWER MODE |
✔ |
|
|
|
| 18 |
JENDELA, PINTU |
✔ |
|
|
17 |
SWITCH AEC |
✔ |
|
|
|
| 19 |
KIPAS KACA (Apabila ada) |
✔ |
|
|
18 |
RADIO KOMUNIKASI |
✔ |
|
|
2 |
DENGARKAN
DAN CATAT SUARA YANG TIDAK BAIK DARI MESIN MAUPUN PADA BAGIAN LAIN PERALATAN |
| 20 |
KACA SPION |
✔ |
|
|
19 |
MONITOR |
✔ |
|
|
|
| 21 |
EMS / CMS |
✔ |
|
|
20 |
MIC |
✔ |
|
|
|
| 22 |
HANDLE KONTROL |
✔ |
|
|
21 |
KABEL MIC |
✔ |
|
|
3 |
BUATLAH
WORK ORDER (WO) DAN SEGERA MASUKKAN KE WORKSHOP |
| 23 |
LEVEL OLI MESIN |
✔ |
|
|
22 |
|
|
|
|
|
| 24 |
LEVEL OLI HIDROLIK |
✔ |
|
|
23 |
|
|
|
|
4 |
JIKA ADA
KERUSAKAN, TULIS DI KOLOM KETERANGAN DAN LAPORKAN KONDISI TEMUAN KE PADA
PENGAWAS |
| 25 |
LEVEL AIR RADIATOR |
✔ |
|
|
24 |
|
|
|
| PERKAKAS / PERALATAN |
|
DI LUAR
KABIN |
|
|
|
|
| 1 |
PEMADAM API |
✔ |
|
|
1 |
KEBOCORAN OLI |
✔ |
|
|
|
| 2 |
TALI PENGAMAN (SEAT BELT) |
✔ |
|
|
2 |
KEBOCORAN AIR |
✔ |
|
| 3 |
TRICON |
✔ |
|
|
3 |
|
|
|
|
DIPERIKSA OLEH PENGAWAS |
|
| 4 |
|
|
|
|
KONDISI EQUIPMENT |
|
 |
|
|
|
| KEBERSIHAN |
|
1 |
SUARA MESIN |
✔ |
|
|
|
| 1 |
KEBERSIHAN EQUIPMENT |
✔ |
|
|
2 |
SUARA TRANSMISI |
✔ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Muh. Zakariah Fitra |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nama Pengawas & Tanda Tangan |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Keterangan kerusakan : |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1. Kombinasi arm boom bucket tidak normal saat mengangkat material (butuh pergantian solenoid)
2. Ada kebocoran di tangki hydrolic
3. Track shoee ada yang patah dan banyak baut track shoee yang longgar |
|
|
|
|
|
|
|
| OPERATOR YANG BAIK, SELALU MEMERIKSA DENGAN BENAR PERALATANNYA
SEBELUM DIOPERASIKAN OPERATOR MENGERTI BAHWA KESELAMATAN DIRINYA DAPAT
DITUNJANG PADA KONDISI PERALATAN YANG AKAN DIOPERASIKANNYA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|