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FORM / FORMULIR |
No. Dokumen |
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GSI4-OPR-002E |
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| Revisi |
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0 |
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| P2H |
Tanggal Efektif |
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24-Juli-23 |
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| MOTOR GRADER |
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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MG.005 |
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NAMA |
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Herdin.s |
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| DATE |
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10-Aug-2026 |
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START HM |
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6800.8 |
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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 |
BAN MUKA / BELAKANG |
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FUNGSI
METERAN / INDIKATOR ALARM |
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1 |
STIR / KEMUDI |
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| 2 |
TANDEM |
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1 |
LEVEL OLI MESIN |
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2 |
REM KAKI |
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| 3 |
TANGGA / PEGANGAN |
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2 |
LEVEL OLI TRANSMISI |
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3 |
REM PARKIR |
✔ |
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| 4 |
LAMPU MUKA / BELAKANG |
✔ |
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3 |
LEVEL OLI HIDROLIK |
✔ |
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4 |
GIGI PERSENELING |
✔ |
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| 5 |
SELANG / PIPA HIDROLIK |
✔ |
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4 |
TEKANAN ANGIN |
✔ |
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5 |
KLAKSON MUNDUR |
✔ |
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| 6 |
TANGKI HIDRO |
✔ |
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5 |
SEATS / TEMPAT DUDUK |
✔ |
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6 |
LAMPU PERINGATAN |
✔ |
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| 7 |
TABUNG ACCUMULATOR |
✔ |
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6 |
AIR CONDITIONER |
✔ |
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7 |
EMS / CMS |
✔ |
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| 8 |
BLADE / MOLOBOARD |
✔ |
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7 |
KEMUDI / STIR |
✔ |
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8 |
SISTEM HIDROLIK |
✔ |
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| 9 |
CUTTING EDGES |
✔ |
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8 |
PENGATUR STIR |
✔ |
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9 |
LAMPU PUTAR (STROBE) |
✔ |
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| 10 |
CIRCLE BLADE |
✔ |
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9 |
PEDAL REM |
✔ |
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10 |
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| 11 |
GOOSENECK |
✔ |
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10 |
PEDAL GAS |
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| 12 |
SILINDER HIDROLIK |
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11 |
PEDAL MODULAR |
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| 13 |
SILINDER ARTIKULASI |
✔ |
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12 |
TUAS GIGI |
✔ |
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UNTUK SEMUA OPERATOR |
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BATTERY |
✔ |
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13 |
THROTTLE |
✔ |
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| 15 |
INDIKATOR SARINGAN UDARA |
✔ |
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14 |
TUAS REM PARKIR |
✔ |
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1 |
FORMULIR
INI HARUS DIISI SETELAH PERALATANNYA DIPERIKSA DAN KEMUDIAN DISERAHKAN KEPADA
PENGAWAS SETELAH BEROPERASI |
| 16 |
KABIN OPERATOR |
✔ |
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15 |
KLAKSON |
✔ |
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| 17 |
WIPER |
✔ |
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16 |
LAMPU MUKA / BELAKANG |
✔ |
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| 18 |
KACA SPION |
✔ |
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17 |
LAMPU KABIN |
✔ |
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| 19 |
HANDEL KONTROL |
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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 |
TABUNG ANGIN |
✔ |
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19 |
GAUGE |
✔ |
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| 21 |
KLAKSON MUNDUR |
✔ |
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20 |
RADIO KOMUNIKASI |
✔ |
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| 22 |
LEVEL AIR RADIATOR |
✔ |
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21 |
EMERGENCY STEERING |
✔ |
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3 |
BUATLAH
WORK ORDER (WO) DAN SEGERA MASUKKAN KE WORKSHOP |
| 23 |
RUANG MESIN |
✔ |
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22 |
RADIO KOMUNIKASI |
✔ |
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| 24 |
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23 |
MONITOR |
✔ |
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4 |
JIKA ADA
KERUSAKAN, TULIS DI KOLOM KETERANGAN DAN LAPORKAN KONDISI TEMUAN KE PADA
PENGAWAS |
| PERKAKAS / PERALATAN |
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24 |
MIC |
✔ |
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| 1 |
PEMADAM API |
✔ |
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25 |
KABEL MIC |
✔ |
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| 2 |
TALI PENGAMAN (SEAT BELT) |
✔ |
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DI LUAR
KABIN |
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| 3 |
GANJAL BAN |
✔ |
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1 |
KEBOCORAN OLI |
✔ |
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DIPERIKSA OLEH PENGAWAS |
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| 4 |
TRICON |
✔ |
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2 |
KEBOCORAN AIR |
✔ |
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| 5 |
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3 |
KEBOCORAN UDARA |
✔ |
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| KEBERSIHAN |
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4 |
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| 1 |
KEBERSIHAN EQUIPMENT |
✔ |
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KONDISI EQUIPMENT |
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1 |
SUARA MESIN |
✔ |
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2 |
SUARA DIFFERENTIAL |
✔ |
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Nama Pengawas & Tanda Tangan |
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| Keterangan kerusakan : |
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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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