Forklift Management Ledger

No FORKLIFT NO FORKLIFT TYPE FORKLIFT SIZE DATE OF PURCHASE Repair Record

Penggantian Baut roda belakang 3 pcs
Diesel / Battery
Others Lampu sign 48V 2K 1pcs
1 B2K-01366 2,5 Ton 22-Apr-16
Horn 48V 1pcs
C/R
Instalasi Kabel
Socket 175A Grey 2pcs
Cell Battery FSVL 565 aH 4pcs
Service FET Driver 1pcs
Socket 175A Grey 1pcs
Lampu Mundur 48V 2pcs
Mounting Motor Driver SN 1pcs
Lampu sign 48V LED 2pcs
Ban Luar Foklift Aichi 23x9-10 2pcs
Ban Luar Foklift Aichi 18x7-8 2pcs
Biaya Pengecekan forklfit
Forklift management ledger 12-Sep-22
No FORKLIFT NO FORKLIFT TYPE FORKLIFT SIZE DATE OF PURCHASE repair record

Diesel / Battery
Others
1 NICHIYU 1 1.8 ton 15-Jun-17

C/R

Please enter your Diesel or battery or Please write the Please write the date
current management other Please circle size of the of purchase of the ・ Please fill in the repair history of the forklift.
number. the appropriate forklift. forklift.
part. ・ The information to be filled in is the repair date
Please update when Enter the load and the part that was repaired.
the new NKI number Please circle the capacity of the
is decided. counter or the forklift. ・ Please write the latest repair information.
reach or the
applicable part.
・ If a new repair has occurred and you have
performed it, please rewrite it to the latest repair.

・ Do not delete the repair history, but post it to

the repair history table.
Repair Record
No. FORKLIFT NO Date of repair repaired place details of repair
NKI Cakung Baud roda belakang 3 pcs
1 B2K-01366 1/11/2018

NKI Cakung Lampu sign 48V 2K 1pcs

4/18/2018 Horn 48V 1pcs
Instalasi Kabel
NKI Cakung Socket 175A Grey 2pcs
8/13/2019
Cell Battery FSVL 565 aH 4pcs
NKI Cakung Service FET Driver 1pcs
Socket 175A Grey 1pcs
10/12/2019
Lampu Mundur 48V 2pcs
Mounting Motor Driver SN 1pcs
NKI Cakung Lampu sign 48V LED 2pcs
4/13/2020

NKI Cakung Ban Luar Foklift Aichi 23x9-10 2pcs

9/17/2021
Ban Luar Foklift Aichi 18x7-8 2pcs
NKI Cakung Biaya Pengecekan forklfit
9/14/2022
Repair amount

825,000

2,035,000

16,500,000

7,205,000

500,000

16,999,996

832,500
 Created date: 12-Sep-22

Affix a photo of Affix a photo of

the diagonal front the right diagonal
right back

Please attach a Forklift No.

NICHIYU 1
photo with the
control number Forklift Model

of the forklift. FBRW 18-80

185F00256

Forklift Size
1.8 Ton

Date Of Purchase
15 Juni 2017

Remarks
 Created date: 12-Sep-22

Forklift No.
NICHIYU 1

Forklift Model
FBRW 18-80
185F00256

Forklift Size
1.8 Ton

Date Of Purchase
15 Juni 2017

Remarks