QA FORM NO :

RECEIVING AND FINAL INSPECTION

MAINTENANCE
QA 10 SHEET
KOMATSU PC210-10MO PC210-10MO/5320/00/QA10/20(0)

IN OUT JO / WO No.
Machine Model Serial Number Machine Code
DATE TIME SMR DATE TIME SMR

Engine Model Serial Number Type of Attachment Branch / Site

Work
Type : Customer
Location

Filling Instruction : The following are the points of unit inspection. Write down in coloum "Work type" : Good Condition
Result Of
when unit entered to workshop according to type of work X : Bad Condition
Inspection
: Correction Made
* Ensure the marked item on good condition when releasing unit

IN OUT
No Inspect In The Following Order RESULT DESCRIPTION RESULT REMARK
A VISUAL CHECK
1 Damage, loose, wear, leakage, missing, crack, etc
B FLUID COMPARTMENT CHECK (level and condition)
1 Radiator coolant *
2 Engine Oil *
3 Hydraulic Oil *
4 Swing Machinery *
5 Swing Circle *
6 Final Drive Case *
7 Track Rollers & Idlers
C CONDITION CHECK
1 Belt tension (fan, alternator, AC compressor)
2 Radiator core & connections *
3 Air cleaner elements & connections *
4 Intake & exhaust connections *
5 Solenoid valves *
6 All filter & breather
7 Track Tension
D FUNCTION CHECK
1 Monitor panel display, gauge & switches
2 Electrical, starting & charging system
3 Boom, bucket, arm & travel
4 Throttle (FCD)
5 Swing lock & brakes
6 Horn & wiper
7 Working lamp
E PERFORMANCE CHECK
1 Engine speed
a. Low idle (Std : ......... RPM) / (Actual : .......... RPM )
b. High idle (Std : ......... RPM) / (Actual : .......... RPM )
c. Hyd. Stall (Std : ......... RPM) / (Actual : .......... RPM )
2 Main pump pressure
a. Front (Std : ......... MPa) / (Actual : .......... MPa )
b. Rear (Std : ......... MPa) / (Actual : .......... MPa )
3 Unusual/abnormal noise
F OPTIONAL EQUIPMENT
1 Autolube
2 Fire supression
3 Safety device
4 Air conditioner
G OTHERS
1
2
3
4
Inspector's Comment :

Customer's Comment :

Name : Name : Name :

SPV Signature : IN/Receiving Signature : OUT/Final Signature :
approval Inspector Inspector