IM-F-MM-A10.

R2
PT.INDOMINCO MANDIRI
MINE MAINTENANCE DEPARTMENT

FORM DAILY REPORT GENERATOR SET

Page 1 of 6

FIRST SHIFT OPERATOR : _____________ Fuel Suply Mtr Fuel Return Mtr Date : ____________________

GENSET No : _____ GENSET No : _____ FEEDER

VOLTS AMPERES FREQ VOLTS AMPERES FREQ F1 F2 F3 F4 F5 F6
TIME KW PF ETM KW PF ETM
V 1-2 V 2-3 V 3-1 L1 L2 L3 Hz V 1-2 V 2-3 V 3-1 L1 L2 L3 Hz Amps Amps Amps Amps Amps Amps
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00

SECOND SHIFT OPERATOR : ___________________________

15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00

THIRD SHIFT OPERATOR : _____________________________

23:00
24:00
01:00
02:00
03:00
04:00
05:00
06:00

Total kWH : Total kWH :

 IM-F-MM-A10.R2
PT.INDOMINCO MANDIRI
MINE MAINTENANCE DEPARTMENT

FORM DAILY REPORT GENERATOR SET

Page 2 of 6
FIRST SHIFT
GENSET No : _____ GENSET No : _____
OIL WATER CHARGE COUNTER OIL WATER CHARGE COUNTER FUEL
TIME VOLTS AMPS Hz RPM VOLTS AMPS Hz RPM
PRESSURE TEMP Amps HOURS PRESSURE TEMP Amps HOURS TANK
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00
SECOND SHIFT
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
THIRD SHIFT
23:00
24:00
01:00
02:00
03:00
04:00
05:00
06:00
TOTAL KWH : TOTAL FUEL :
REMARKS :
 IM-F-MM-A10.R2
PT.INDOMINCO MANDIRI
MINE MAINTENANCE DEPARTMENT
FORM DAILY REPORT GENERATOR SET
Page 3 of 6

Genset No : ________ Date : _______________

First Shift Operator : ________________________ HM : ________________

Fuel Input Fuel Return

M3 X 0.1 X0.01 X 0.001 X 0.0001 M3 X 0.1 X0.01 X 0.001 X 0.0001

VOLTS AMPERES FREQ Battery Oil Water

Time KW (GS 27) PF RPM KWH (GS 05)
V 1-2 V 2-3 V 3-1 L1 L2 L3 Hz Charge Press Temp
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00

Second Shift Operator : ______________________ HM : ________________

Fuel Input Fuel Return

15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00

Third Shift Operator : _________________________ HM : ________________

Fuel Input Fuel Return

23:00
24:00
01:00
02:00
03:00
04:00
05:00
06:00

Total kWH Total kWH

Notes :
 PT.INDOMINCO MANDIRI
MINE MAINTENANCE DEPARTMENT
FORM DAILY REPORT GENERATOR S
LOCATION : Crusher #2
KWH Awal
GENSET CUMMINS 450 KVA ( 26 ) KWH Akhir
TOTAL
Shift I Shift II Shift
No Description
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2
1 Oil Pressure
2 Water Temp
3 Volt DC
4 Rpm
5 Volts AC
6 Amps 1
7 Amps 2
8 Amps 3
9 Hz
10 KW
11 Cos Q
12 Stand by
13 CM
14 PM

KWH Awal
GENSET CUMMINS 250 KVA ( 28 ) KWH Akhir
TOTAL
Shift I Shift II Shift
No Description
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2
1 Oil Pressure
2 Water Temp
3 Volt DC
4 Rpm
5 Volts AC
6 Amps 1
7 Amps 2
8 Amps 3
9 Hz
10 KW
11 Cos Q
12 Stand by
13 CM
14 PM

KWH Awal
GENSET CUMMINS 250 KVA ( 29 ) KWH Akhir
TOTAL
Shift I Shift II Shift
No Description
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2
1 Oil Pressure
2 Water Temp
3 Volt DC
4 Rpm
 5 Volts AC
6 Amps 1
7 Amps 2
8 Amps 3
9 Hz
10 KW
11 Cos Q
12 Stand by
13 CM
14 PM

KWH Awal
POWER PLANT KWH Akhir
TOTAL
Shift I Shift II Shift
No Description
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2
1 Rpm
2 Volts AC
3 Amps 1
4 Amps 2
5 Amps 3
6 Hz
7 KW
8 Cos Q
9 Stand by
10 CM
11 PM

FUEL METER AWAL : ______________________ Prepared by,

FUEL METER AKHIR : ______________________

TOTAL FUEL : ______________________

KWH AWAL : ______________________ Opr. Shift I Opr. Shift II Opr. Shift III

KWH AKHIR : ______________________

 IMM-F-MM-A10.R2
INCO MANDIRI Page 4 of 6
NANCE DEPARTMENT
ORT GENERATOR SET
DAY / DATE : …………………...…
: HM Awal :
: HM Akhir :
TOTAL
Shift III
Remarks
3 4 5 6

: HM Awal :
: HM Akhir :
TOTAL
Shift III
Remarks
3 4 5 6

: HM Awal :
: HM Akhir :
TOTAL
Shift III
Remarks
3 4 5 6
 : HM Awal :
: HM Akhir :
TOTAL
Shift III
Remarks
3 4 5 6

Approved by,

Supervisor
 FACILITIES MAINTENANCE PBU

FORM DAILY REPORT POWER GENERATOR

Location : Maruai Site DATE / DA
V. Tangki 06 : KWH Awal :
GENSET NUMBER : V. Tangki 07 : KWH Akhir :
TOTAL TOTAL
Shift Day Shift Night
No Description
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2
1 Oil Pressure
2 Water Temp
3 Volt DC
4 Rpm
5 Volts AC
6 Amps 1
7 Amps 2
8 Amps 3
9 Hz
10 KW
11 Cos Q

KWH Awal :
GENSET NUMBER : KWH Akhir :
TOTAL
Shift Day Shift Night
No Description
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2
1 Oil Pressure
2 Water Temp
3 Volt DC
4 Rpm
5 Volts AC
6 Amps 1
7 Amps 2
8 Amps 3
9 Hz
 10 KW
11 Cos Q

Pre Check Daily Shift Siang Shift Malam

1 Engine Oil Level Cukup Kurang Cukup Kurang
2 Collant Level Cukup Kurang Cukup Kurang Di Check Oleh,
3 Daily tank _____ L _____ L _____ L _____ L
4 Fuel Water Sparator Bersih Kotor Bersih Kotor
5 Valve line Fuel Normal Tdk Normal Normal Tdk Normal
6 Battery Condition Bersih Kotor Bersih Kotor
7 Battery Voltage 24 V < / > 24V 24 V < / > 24V Opr. Shift Siang Opr. Shift Malam
8 Air Cleaner / Filter Bersih Kotor Bersih Kotor
* Lingkari Kondisi Sebelum menghidupkan unit (Dilarang Start unit Sebelum semua Normal)
/ DAY :
HM Awal :
HM Akhir :
TOTAL

Remarks
3 4 5

HM Awal :
HM Akhir :
TOTAL

Remarks
3 4 5
Disetu Oleh :

Supervisor
 IM-F-MM-A10.R2
PT.INDOMINCO MANDIRI Page 6 of 6
MINE MAINTENANCE DEPARTMENT

FORM DAILY REPORT GENERATOR SET

TGL: _____/_____/_____ GENSET NO : ___________

Ö Condition
Remarks

PANEL SWITCHGEAR
1. Periksa semua Relay Proteksi (Overload Relay, Reverse Normal Fault
Power Relay, Differential Relay)

2. Periksa semua indikasi generator Normal Fault

3. Periksa lampu indikator dg test lamp Normal Fault

ENGINE GENERATOR
4. Periksa kebocoran oli dan solar pada engine Normal Bocor

5. Periksa semua mounting bolt Normal Loose

6. Periksa level oil engine Normal Low

7. Periksa level coolant/radiator Normal Low

8. Periksa indikator air cleaner Normal Service

9. Periksa lampu indikator panel dg test lamp Normal Fault

Diinspeksi oleh, Diperiksa oleh,

TGL: _____/_____/_____ GENSET NO : ___________

Ö Condition
Remarks

PANEL SWITCHGEAR
1. Periksa semua Relay Proteksi (Overload Relay, Reverse Normal Fault
Power Relay, Differential Relay)

2. Periksa semua indikasi generator Normal Fault

3. Periksa lampu indikator dg test lamp Normal Fault

ENGINE GENERATOR
4. Periksa kebocoran oli dan solar pada engine Normal Bocor

5. Periksa semua mounting bolt Normal Loose

6. Periksa level oil engine Normal Low

7. Periksa level coolant/radiator Normal Low

8. Periksa indikator air cleaner Normal Service

9. Periksa lampu indikator panel dg test lamp Normal Fault

Diinspeksi oleh, Diperiksa oleh,