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  • 46.vehicle Check List-Rev.00

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    Kevin
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    This vehicle check list document contains information to inspect vehicles before use. It lists the driver's details, vehicle registration information, service history, and current odometer reading. It then provides a table to check various parts of the vehicle like the steering, wheels, lights, transmission, brakes, seat belts, and safety equipment. Spaces are provided to indicate if each item is in good or defective condition, and to note any defects. The conclusion section is to determine if the vehicle is roadworthy or not based on the inspection. Inspectors and drivers must sign and date the completed form.

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    46.VEHICLE CHECK LIST-REV.00

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    This vehicle check list document contains information to inspect vehicles before use. It lists the driver's details, vehicle registration information, service history, and current odometer reading. It then provides a table to check various parts of the vehicle like the steering, wheels, lights, transmission, brakes, seat belts, and safety equipment. Spaces are provided to indicate if each item is in good or defective condition, and to note any defects. The conclusion section is to determine if the vehicle is roadworthy or not based on the inspection. Inspectors and drivers must sign and date the completed form.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    34 views1 page

    46.vehicle Check List-Rev.00

    Uploaded by

    Kevin
    This vehicle check list document contains information to inspect vehicles before use. It lists the driver's details, vehicle registration information, service history, and current odometer reading. It then provides a table to check various parts of the vehicle like the steering, wheels, lights, transmission, brakes, seat belts, and safety equipment. Spaces are provided to indicate if each item is in good or defective condition, and to note any defects. The conclusion section is to determine if the vehicle is roadworthy or not based on the inspection. Inspectors and drivers must sign and date the completed form.

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    © All Rights Reserved
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    Flag for inappropriate content
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    CHECK LIST KENDARAAN

    VEHICLE CHECK LIST


    Nama Driver/Name of Driver No. Polisi/Vehicle Plat Number
    Jenis SIM/Kind Of License No. STNK/STNK No.
    Tanggal habis SIM/Expired of License Tgl habis STNK/Expired of STNK
    Type Kendaraan/Vehicle Type No. Kabin/Cabin No.
    Load Maximum/Maximum Load No telp. Darurat/Emergency No.
    Tgl Terakhir Service/Date of Latest Kontraktor Angkutan/Name of
    Service Contractor
    No. HP Driver/Driver’s Phone cell KM Sekarang/Present KM

    Kondisi
    Condition
    ITEMS TO BE CHECKED Baik/
    Cacat/ Keterangan Cacat/Defect
    Not
    Good
    good
    GENERAL
    Steering
    Ban & Cadangan/Wheel & its spare
    Lampu-lampu/Lamps
    Alarm Mundur/Reverse Alarm
    Level Oli/Oil Level
    Minyak Rem/Brake Fluid
    Air Radiator/Radiator Water
    Persneling/Transmission
    Main Brake
    Parking Brake
    Water Wiper & Wiper
    Klakson/Horn
    All Seat Belt
    Drive Right Equipment
    PERLENGKAPAN SAFETY/SAFETY EQUIPMENT
    Tanda Bahaya Segitiga/Hazard Triangle
    A P A R/Fire Extinguisher
    Kunci Roda/Wheel Locks
    Jack
    Strobe Lamp
    Schotlite Reflector
    Identity Vehicle Number
    Radio Komunikasi/Communication Radio
    Rantai/Belt Strap Pengikat Beban/Chain/Belt strap
    KESIMPULAN/CONCLUSION Laik (Good)/Tidak Laik Jalan (Not Good)

    ………………… ……..……… ………… ……………… …..………… ………..


    Inspector Tanda tangan/Sign Tanggal/Date Driver Tanda tangan/Sign Tanggal/Date

    PBS/F/HSE/46-VEHICLE CHECK LISt-REV.00

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