EPC LAWE-LAWE FACILITIES PROJECT

RDMP RU V – BALIKPAPAN

Period from : / to /

OPERATORS DAILY INSPECTION RECORD

Company : CAR / VAN / BUS
Serial No. : OK NA DEFECT
Mon Tues Wed Thu Fri Sat Sun
Seatbelts All Passengers
Windshield, washer
Windshield, wiper
Rear View Mirrors
Headlights, high/low
Signal Lights / Left-Right
Hazard lights
TailLlights / Brake Lights
Horn, backup alarm
Back Up Lights
Engine Oil Leaks
Coolant Leaks
Fuel Leaks
Exhaust Leaks
Motor Oil Level
Radiator Water Level
Wind/washer level
Power Steering Level
Fan/Alternator Belts
Steering/Loose Parts
Gear/Transmission
Foot Brake
Parking Brake
Windows Open / Close
Doors Open / Close
Body Damage
Registration Plates
Rattles / Vibrations
Fire Extiguisher
Jack with Handle
Tools
First Aid Kit
Condition of Front Tires
Condition of Rear Tires
Spare tire

Name of Operator
Siganture
Date