Pemeriksaan Harian Kendaraan

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 4

NO.

DOC
NO.REV
TGL TERBIT
PEMERIKSAAN HARIAN KENDARAAN

TANGGAL : CUSTOMER : VEHICLE ID :


LOKASI : TUJUAN : JAM :
JENIS : ODOMETER : Driver / Assisten :

ITEM PEMERIKSAAN
GENERAL / UMUM Y/N QTY ADDITIONAL
1. Ganjal Ban
2. Ban Serep
3. Tool set
4. Dongkrak
5. Kunci Roda
6. Segitiga Pengaman
7. Safety Belt
8. Gembok Ban Serep
9 Rantai Ban Serep
10 Twist Lock
11 Lampu Rotary
ADDITIONAL Y/N QTY
1 APAR
2 Kotak P3K
3 Senter
4 GPS

KONDISI FISIK Y/N N/A ADDITIONAL


1 Kaca Spion LH 1 Speedometer
2 Kaca Spion RH 2 Stick Oli
3 Wiper
4 klakson
5 Alarm Mundur
6 Kabin (pintu, kaca)
8 kingpin & Fifth wheel
9 Kabel Rem
10 Rem
11 Head Lamp
12 Lampu Sein
13 Kabel Kelistrikan
14 Baut ban
15 Body Kabin

PERLENGKAPAN APD TAMBAHAN SURAT - SURAT KENDARAAN DRIVER / Ass. Driver


ITEM Pcs Keterangan Pcs ITEM MASA BERLAKU 1 Seragam
Safety Vest KIR HEAD 2 ID Card
Sarung Tangan KIR CHASIS 3 Safety Shoes
TID 4 Helm
UJI EMISI 5 SIM A, B1, B2 Umum
6 KTP

KETERANGAN :

………………………………………………………………………………………………………………………………………………………………………………………………………

Driver Kordinator Driver Workshop Ops

( ) ( ) ( ) ( )
Y/N QTY

Y/N N/A
Y/N QTY

……………………………

Ops

You might also like