PT PAMAPERSADA NUSANTARA

MINING AND EARTHMOVING CONTRACTOR

CODE NUMBER
Periodic Inspection Form HOUR METER
HD785-7
TANGGAL

No DESCRIPTION REF NO ACTIVITY VALUE STD

1 wiper water level check level level 0.5

2 cabin visual check clean 0.25

3 blade & arm blade wiper visual check no crack 0.25

4 air intake connection ENG/0031-00 check no loose, no crack 0.5

5 dust indicator visual Check below 7.5 kPa 0.5

6 engine oil line ENG/0021-00 visual check no leak 0.5

7 fan belt ENG/0010-00 visual check no loose, no crack 0.25

8 belt tesioner ENG/0013-00 visual check no loose 0.25

9 radiator ENG/0008-00 visual check no leak 0.25

10 coolant line ENG/0002-00 visual check no leak 0.5

11 water pump ENG/0004-00 visual check no leak 0.5

12 coolant condition visual check no oil mixed 1

13 fuel line ENG/0040-00 visual check no leak 0.5

14 fuel tank ENG/0039-00 visual check no leak, no crack, no dirty 0.5

15 coolant level ENG/0001-00 check level level 0.25

16 engine oil level ENG/0018-00 check level level 0.25

17 exhaust line ENG/0037-00 visual check no crack 0.5

18 fuel pump ENG/0043-00 visual check no leak 0.5

19 fuel level indicator ENG/0041-00 visual checl corelation gauge & monitor 0.25

20 common rail ENG/0041-00 visual check no leak 0.25

21 grommet cover suspension pressure sensor visual check no loose, no crack 0.5

22 heat shrink suspension pressure sensor visual check no loose, no crack 0.5

23 battery level check level level 2

24 mounting guard pressure sensor visual check no loose, no crack 0.75

25 combination switch ELE/0057-00 check function aktif 0.25

26 hazzard switch ELE/0058-00 check function aktif 0.25

27 lock out switch ELE/0010-00 check function aktif 0.25

28 overtaking switch ELE/0073-00 check function aktif 0.25

29 horn switch ELE/0051-00 check function aktif 0.25

30 lamp switch ELE/0034-00 check function aktif 0.25

31 autolube system check function aktif 1

32 terminal battery ELE/0034-00 check no loose, no crack, no rust 0.5

Code Number Problem Description Component No Figure & index Part Number Part Description Qty Plan Repair Eta Status
 Paraf

Nama, NRP
Mechanic Group Leader

Sheet 1 of 2
 PT PAMAPERSADA NUSANTARA
MINING AND EARTHMOVING CONTRACTOR

CODE NUMBER
Periodic Inspection Form HOUR METER
HD 785-7
TANGGAL

No DESCRIPTION REF NO ACTIVITY VALUE STD

1 oil level brake sub tank BRK/0044-00 check level level 0.5

2 transmission oil tank BRK/0044-00 visual check no leak, no crack 0.5

3 oil brake line BRK/0043-00 visual check no leak 0.5

4 final drive visual check no leak 0.5

5 seal input shaft differential visual check no leak, no crack 0.75

6 Piping & hose output transmission pump visual check no leak 0.5

7 torque converter visual check no leak 0.5

8 transmission oil level check level level 0.5

9 suspension oil level check level level 0.5

10 suspension visual check no leak 0.5

11 pin lock suspensi visual check no loose, no crack 0.5

12 axle house visual check no crack 0.25

13 hydraulic line HYD/0003-00 visual check no leak, no crack 0.5

14 hydraulic oil level HYD/0001-00 check level level 0.5

15 rod dump body positioner 0.5

16 autolube controller ACC/0030-00 manual test aktif 0.5

17 autolube connection line ACC/0035-00 visual check no leak, no crack 1

18 solenoid aktifasi jammed ACC/0023-00 check function aktif 0.5

19 autolube actuator electric check function aktif 0.5

20 hose grease ACC/0034-00 visual check no leak, no crack 0.5

21 autolube grease level ACC/0029-00 check level level 0.25

22 LOP Detection tube engine visual check no leak 0.75

23 compressor belt tension ACC/0037-00 check no loose no crack 0.25

24 compressor ACC/0040-00 check function aktif 0.25

25 cylinder valve check function aktif 0.5

26 AC injector check no leak 0.5

27 safety valve check function aktif 0.25

28 grease pump check function aktif 0.25

29 tank & pressure fire supression ACC/0001-00 check aktif 1

30 discharge pressure switch ACC/0011-00 check function aktif 0.5

Code Number Problem Description Component No Figure & index Part Number Part Description Qty Plan Repair Eta Status
 Paraf

Nama, NRP
Mechanic Group Leader

Sheet 2 of 2
component area
Hydraulic level hyd
Hydraulic line hyd
Dump body positioner sensor ele

Hyd Steering Line hyd

Coolant level eng
coolant line eng
Water Pump eng
Radiator eng
Fan belt eng
Belt tensioner eng
Oil Level eng
Engine oil line eng
Coolant condition eng
Air intake line eng
Air Cleaner eng
Exhaust manifold eng
Fuel tank eng
Fuel line eng
Fuel gauge eng
Fuel Pump eng
Common rail eng
Fuel line (hose, piping, dan connector) eng
Battery ele
Battery terminal & connection ele
Switch lamp ele
Switch horn ele
Combination switch ele
Hazard switch ele
Switch overtaking lamp ele
Hydraulic line parking brake brk
Brake oil level brk
Compressor opt
Line AC opt
Grease level opt
Autolub controller opt
Line Grease opt
Grease Pump opt
Injector Grease opt
Cylinder valve fire suppression opt
Manual actuator pneumatic opt
Manual actuator electrical opt
Manual actuator mechanical opt
Discharge line opt
Solenoid aktivasi opt
Discharge pressure switch opt
Foam Fire supression tank opt
Torque converter pump pot
Piping/hose output transmission pump pot
Hose & piping transmission pot
Differential pot
Final drive pot
Suspensi u/c
Pin lock suspensi u/c
Axle housing u/c
Check Hydraulic level
Check Line leak
1. Visual Check rod dump body position sensor condition
2. Measure output Voltage Dump body position sensor
Check line leak
Check coolant level
check coolant line leak
Visual Check water pump condition
Visual check fin & core radiator condition
Visual check fan belt radiator condition
Visual check tensioner fan belt condition
Check Oil level
Check Oil line leak
Check Coolant mix Oil
Visual check line air intake
Visual check dust indicator condition
Visual check exhaust line condition
Check Fuel tank leak
Check Fuel line leak
Compare level gauge with monitor panel
Visual check fuel pump condition
Visual check common rail condition
Visual check fuel line leak
1. Check Battery level
Check terminal battery condition
Function check switch lamp
function Check switch horn
Function Check Combination Switch
Pengecekan fungsi Hazard switch
Function check overtaking switch
Check leak Hyd line parking brake
Check Oil level
1. Visual check kondisi compresso
1. Check kebocoran pada line AC
Pengecekan level autolube
Manual test controller
Check Grease hose
1. Visual check kondisi pump
Visual check kondisi injector
Check cylinder valve condition
visual check manual actuator
visual check electrical actuator
visual check mechanical actuator
Check connection line
visual Check kondisi solenoid
visual check discharge pressure switch
Check pressure gauge & tank condition
1. Check torque leaking
Check leaking
Check leaking
1. Check differential leaking
1. Check Final drive leaking
1. Cek Level oil suspensi
1. Visual check
Check Crack
Comp area
wiper water level cab
cabin cab
blade & arm blade wiper cab
air intake connection eng
dust indicator eng
engine oil line eng
fan belt eng
belt tesioner eng
radiator eng
coolant line eng
water pump eng
coolant condition eng
fuel line eng
fuel tank eng
coolant level eng
engine oil level eng
exhaust line eng
fuel pump eng
fuel level indicator eng
common rail eng
grommet cover suspension pressure sen ele
heat shrink suspension pressure sensor ele
battery level ele
mounting guard pressure sensor ele
combination switch ele
hazzard switch ele
lock out switch ele
overtaking switch ele
horn switch ele
lamp switch ele
autolube system opt
terminal battery ele
oil level brake sub tank brk
transmission oil tank pot
oil brake line brk
final drive pot
seal input shaft differential pot
Piping & hose output transmission pum pot
torque converter pot
transmission oil level pot
suspension oil level u/c
suspension u/c
pin lock suspensi u/c
axle house u/c
hydraulic line hyd
hydraulic oil level hyd
rod dump body positioner ele
autolube controller opt
autolube connection line opt
solenoid aktifasi jammed opt
autolube actuator electric opt
hose grease opt
autolube grease level opt
LOP Detection tube engine opt
compressor belt tension opt
compressor opt
cylinder valve opt
AC injector opt
safety valve opt
grease pump opt
tank & pressure fire supression opt
discharge pressure switch opt