No. Dok. : WIK-P0-PM-Q10.

14
No. Rev. : 00

SUBJECT : BOOM TRUCK INSPECTION NO :

LOCATION : DATE :
INSPECTOR : SIGN :

ITEM DESCRIPTION Y N N/A

1 Sistem Pendingin Mesin ( Air Radiator )
2 Oli Mesin
3 Oli Hidrolik
4 Filter Udara
5 Kondisi Ban
6 Tekanan Udara Ban
7 Baut Roda
8 Air Batere
9 Klep Tabung Kompresor
10 Air Tabung Kompresor ( Buang )
11 Minyak Rem
12 Minyak Power Steering
13 Kaca ( Depan, Samping, Belakang )
14 Kaca Spion
15 Fungsi Sabuk Keselamatan
16 Kondisi Mesin
17 Fungsi Panel Instrumen
18 Fungsi Klakson & Backup Alarm
19 Fungsi Pengereman
20 Fungsi Kopling, Stelan Pedal Kopling
21 Fungsi Rem Parkir
22 Lampu Indikator Belakang ( Belok, Seri, Mundur dll )
23 Lampu Indikator Depan ( Belok, Seri, dll )
24 Lampu Rem
25 Lampu Rotary & Emergency Lainnya
26 Lampu Utama Depan
27 Perlengkapan Keselamatan Kerja
28 Tabung Pemadam Kebakaran
29 Segitiga Pengaman dan P3K
30 Grease ( Pelumasan )
BOOM HYDRAULIC SYSTEM
1 PTO ( Power Take Off )
2 Hydraulic Oil Tank
 3 Hydraulic Pump
4 Control Valve
5 Boom
6 Hydraulic Motor
7 Outrigger

Recommendations/Action Items (Includes items immediately corrected)

Item No: Recommendation / Action Item / PM Notification Assigned Completion
To: Date:

Conducted by, Acknowledge by, Approved by,

(........................) (............................) (.....................)