NOMER LAMBUNG

SCRUTINEERING CHECK LIST

FORM SCRUTINEERING JOGJAKARTA OFF ROAD CHALLENGE IX 2024

ULTIMATE

PAGE 1 OF 2
MECHANICAL SPECIFICATION

DATA PENUMPANG Gol Darah

NO POL
DRIVER :
Co-DRIVER :
NO START
CREW 1 :
MERK KENDARAAN CREW 1 :
PERSYARATAN ADMINISTRASI PASS FAIL CREW 1 :
VALIDASI PENDAFTARAN PEMERIKSAAN FISIK PASS FAIL
FC SIM PENGEMUDI KONDISI BODY KENDARAAN
FC STNK KENDARAAN KONDISI MESIN
PROTECTION PASS FAIL KONDISI CHASIS
ROOL BAR MIN 6 TITIK KONDISI REM
SEAT BELT (MIN 3 POINTS) ENGINE BAY PASS FAIL
ELECTRICAL PASS FAIL FUEL TANK (S)
LAMPU UTAMA OIL LEAK
LAMPU SPOT TAMBAHAN EXHAUST
LAMPU MUNDUR CATATAN KHUSUS - 1
LAMPU SIGN (RITING)
KLAKSON DAN WIPER

MECHANIKAL AND RECOVERY

RECOVERY POINTS PASS FAIL RECOVERY GEAR PASS FAIL

DEPAN
LOAD RATING & MOUNTING
BELAKANG
LOAD RATING & MOUNTING
ELECTRIC WINCH (FRONT)
WARN 8274 / SEJENIS
WINCH MOUNTING
KONDISI GULUNGAN SLING/PLASMA
KONDISI SLING/PLASMA
4 X 3.25T SHACKLES (OMEGA/BOW SHACKLE)
1 TREE TRUNK PROTECTOR
1 X 6 m STRAP
1 X 20 M EXTENSION STRAP ( MIN 1/TEAM )
PASS FAIL 1 WINCH BLANKET (DAMPENER ) 1Kg
1 SNACTH BLOCK
2 PAIR GLOVES (leather cut-resistant)
CATATAN KHUSUS - 2

WHEELS AND TIRES PASS FAIL

UKURAN BAN MAX (37 X 12.5 )
BAUT RODA (TIDAK ADA MISSING)
KETEBALAN KEMBANGAN BAN (MIN 80%)
BAN CADANGAN SEJENIS
KONDISI BAN CADANGAN
 PAGE 2 OF 2

LIFT JACK PASS FAIL COMMUNICATION PASS FAIL

LOKASI MOUNTING VHF RADIO /RIG
ALAS DONGKRAK GPS- GARMIN / GPX application
COMPULSAY ITEMS PASS FAIL
COMPULSARY EQUIPMENT
APAR (ALAT PEMADAM API RINGAN) 2 KG
COMPULSARY ITEMS PASS FAIL PERALATAN P3K
20 L WATER LAMPU SENTER (2PCS)
BAHAN MAKANAN BUKU PERATURAN KEGIATAN
PERALATAN MASAK EVENT STICKER PASS FAIL
PERALATAN MAKAN STICKER DEPAN
TRASHBAG 1/HARI STICKER SAMPING KIRI DAN KANAN
TENDA DAN PERALATAN CAMPING NO LAMBUNG
FLYSHEET / TERPAL 4X3 M STICKER SPONSOR
VELBED / SLEEPING BAG HASIL PENGETESAN PASS FAIL
BAJU PERSONAL LAMPU MUNDUR
TOOL KIT COMPLETE TURN SIGNAL LIGHTS
SPARE FAN BELT KLAKSON
SELANG RADIATOR TIE-ROD
OLI MESIN, MINYAK GARDAN, TRANSMISI ROLLCAGE (SOFT TOP WAJIB )
OLI POWER STEERING METAL PLATE ROOF COVER
FUSE, MUR, BAUT DLL (SOFT TOP VEHICLE)
BAHAN BAKAR CADANGAN min 20 lt TUTUP TANGKI BAHAN BAKAR
TOOL KIT COMPLETE CATATAN KHUSUS - 3
HASIL PENGETESAN PASS FAIL
KEMAMPUAN WINCH DEPAN
PENGEREMAN
KEMAMPUAN WINCH BELAKANG
PENGEREMAN
LAMPU DEPAN
LAMPU REM

PETUGAS SCRUTINEERING 1 PASS / FAIL

Nama: Sign

DATE

PETUGAS SCRUTINEERING 2
Nama: Sign TIME