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PAMA
CODE NUMBER :
PLD/F-000
PERIODICAL SERVICE FORM FUEL TRUCK UNIT MODEL :
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR
ENGINE MODEL :
PAMA
ENGINE S/N :
LAST OVH :
PS I
PS II
PS III
PS IV
PIC
PS I
PS II
PS III
PS IV
PIC
WORK ORDER NUMBER
DATE
Mechanic
SERVICE
HOUR METER
START TIME FINISH TIME MANPOWER QTY PS
CLEANING UNIT ( HOUR )
Mech
LEAD TIME
MECHANIC NAME
SERVICE TIME ( HOUR )
Mechanic
TRANSMISSION OIL (QTY BOTTLE) DIFFERENTIAL OIL (QTY BOTTLE) HYDRAULIC OIL (QTY BOTTLE)
FINAL CHECK EVERY 250 HOURS (dilakukan setelah PS)
ACTIVITY
1
WALK AROUND CHECK
RECHECK
2
OIL LEVEL
RECHECK
3
FILTERS TIGHTNESS & LEAKAGE
RECHECK
4
OIL & FUEL CAP TIGHTNESS
RECHECK
5
DRAIN PLUG TIGHTNESS & LEAKAGE
RECHECK
6
BACKLOG REPAIR QUALITY
RECHECK
7
WATERCOOLANT LEVEL
RECHECK
8
PANEL CABIN WARNING LAMP
RECHECK
9
START ENGINE, CHECK NOISE
RECHECK
10
WORKLAMP, TURN LAMP, SIGNAL LAMP
RECHECK
11
WORK EQUIPMENT FUNCTION
RECHECK
12
BRAKE FUNCTION
RECHECK
13
TRAVEL FUNCTION
RECHECK
14
OIL/WATER/FUEL LEAKAGE
RECHECK
GL
PAP SAMPLE
ENGINE OIL (QTY BOTTLE)
NAME
SIGN
Revice : 0
Page 1 / 6
PLD/F-000
Periodical Service Form (Checksheet A) FUEL TRUCK UNIT MODEL :
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR PAMA
CODE NUMBER : TASK A : INSPECTION & QUALITY CONTROL EVERY 250 HOURS
HM ACTIVITY
STD.
PS I
PS II
PS III
PS IV
PIC
PS I
PS II
PS III
PS IV
PIC
Check Sound, Dirty or Crack
1
Check Function
3
Check Function
5
Check Function
2
Check Function, Leaks
5
Check Function, temperature
3
11
Horn,Rear View Mirror & Side Mirror Starting & Charging system Monitor Panel & Gauge's (Oil press, Water temp,Air Press.etc) Windshield Wiper (Wiper & Washer pump etc) Air Pressure System (Air Compressor, Regulator etc) Air Conditiioner (Blower, Switch etc) Transmision Gear All Position (Gear speed & Aux) Clutch System (Pedal, Free play, & Engagement) Steering System (Steering Wheel, Free play) Test Braking The Machine (Foot Brake, Exhaust Brake , Parking Brake Aplied) Operator Seat
12
1 2 3 4 5 6 7
Check Shifting, Noise
5
Check Function, length
5
Check Functon, abnormality
5
Check Function, travel
5
Check Function, Damage
2
Fire Extinguisher (APAR)
Check Function, instalation
2
13
Safety Belt
Check Function
2
14
Rotary lamp
Check Function
1
15
Lock Out
Check Function
1
16
Emergency shutdown
Check Function
1
17
Lighting System.Head Lamp,Turn Signal Lamp,Work Lamp etc. Rocker Arm Cover, Cylinder Head & Cylinder Block Radiator piping, Hoses & Connection Fuel Line as piping, hoses, Filter and Fuel Return Water Coolant & Reservoir Tank Level Water Pump & Cooling system pipe & hoses Steeering Gear Box & Servo pump
Check Function
5
Check Leaks, Noise, crack
5
Check Leaks, loose, damage
5
Check Leaks, damage
5
Check
5
Check Leaks
5
Check Leaks
3
Fan Belt, Alternator belt & AC V.belt Fan Pulley & Tension Pulley Air pipe between Intake Manifold & Turbocharger Exhaust Manifold for leaks & loosenes Clamps Turbocharger Muffler & Flexible Muffler Radiator Fins Engine Mounting Transmision Mounting Oil Pan for leaks & Retorque bolt if it necessary Air Compressor
Check Loose, crack, Replace if required
5
Check Loose, crack, Replace if required
5
Check Broken, leaks, loose
5
Check Broken, leaks, loose
3
Check Broken, leaks, loose
2
Check Broken, leaks, loose
4
8 9 10
18 19 20 21 22 23
Check Physical Condition of Engine 24 25 26 27 28 29 30
Check Leaks, Damage
5
Check Damage, Loose
5
Check Damage, Loose
3
Check Leak or loosen
3
Check Leak, Damage
2
Check Leak
5
Check Leak
5
Check Leak
5
Check Function,damage
5
Check Function, damage Retorque
5
40
Hydraulic Lines as piping,hoses Hydraulic Tank Hydraulic Pump All Connectors Propeller Shaft/Coupling PTO to Hydraulic Pump Air Switch PTO
Check Function
5
41
Air Line PTO
Check Leak
5
42
Control Valve
Check Leak
5
43
Hydraulic Motor
Check Leak
5
44
Fuel Pump
Check Leak
5
45
Hose Reel
Check Leak
5
46
Fuel Flow Meter
Check Function
5
47
Fuel Gun
Check Leak
5
48
Pall Filter
Change
10
49
AC Air Filter AC Condensor & Evaporator
31 32 33 34 35 36 37 38 39
Check & Maintenance of Attachment
EVERY 500 HOURS 50
ACTIVITY Replace Clean & Check Dirt, Clogged
STD.
Mechnaic A
Drive, Check & Test
3 10
3.5167 V
Kotak checkmark sebagai tanda bahwa recheck telah dilakukan untuk critical item
Revice : 0
Page 2 / 6
CODE NUMBER : TASK B : INSPECTION & MEASUREMENT EVERY 250 HOURS 51 52 53 54 55 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81
Rear Suspension, Propeller shaft & Joint Inspection Rear shock absorber & Mounting bracket Nut Hollow spring Bogie bushing RH & LH Spring, U-Bolt & Retorque nut V Stay ; Torque Rod & Torque the Bolts Chassis Frame & Cross Member Propeller Shaft, U-Joint and retorque bolt Rubber Stopper Brake Lining Measure Rear Rear Axle RH Lining & Seal hub Rear Rear Axle LH Lining & Seal hub Rear Front Axle RH Lining & Seal hub Rear Front Axle LH Lining & Seal hub Axle & Differential housing & Breather
HM ACTIVITY Check Leak, Broken & Retorque, Worn Check Worn,Damage Check Broken, Loose Check Worn out, Loose Check Crack, Loose Bolt Check Worn, Loose Check Worn Out Check Worn , Leaks Check Worn , Leaks Check Worn , Leaks Check Worn , Leaks Check Crack, Damage , Clean
STD.
PS IV
PIC
5 3 5 5 5 5 10
5
Check Worn Out, Loose Check Function, Leaks, Damage Check Broken, Worn/Thin Check Damage Check Worn Out
5
Measuring Caster
PIC
10
Check Worn, Loose
3 5 5
5 10 5 3
Check Leaks, damaged seal Check & Clean Check Leaks
2
Check Leaks, lot of water Check Leaks, Crack
2
Measure, Check Out of Standart Measure, Check Out of Standart Measure, Check Out of Standart Measure, Check Out of Standart
PS IV
10
Steering linkage condition Front Shock Absorber Front Spring & Torque U-Bolt Steering Knuckle bearing Rubber Stopper Transmision Clutch Housing Transmission Breather Oil cooler
EVERY 4000 HOURS Measured Front Wheel Alignment Measuring Toe in / Toe out Measuring Camber Measuring King pin Inclination
PS III
5
5
Clean, Check Clogged, Dirt ACTIVITY
PS II
10
Check Worn, Malfunction Check Leaks, Damage Check Worn , Leaks Check Worn , Leaks
Fuel Tank Strainer & Breather
PS I
10
Slack Adjuster & Camshaft brake Load Sensing Valve Front Axle RH Lining & Seal hub Front Axle LH Lining & Seal hub Front Suspension, Steering gear Inspection Drag links & Cleareance all Ball Joints
Physical inspection & Repair Release pressure on Air Reservoir Tank Fuel tank Hoses, pipe & Mounting Straps
PLD/F-000
Mechanic B
PAMA
Periodical Service Form (Checksheet B) FUEL TRUCK UNIT MODEL :
2 2
5 5
STD. 15 15 15 15
Mechanic B
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR
Revice : 0
Page 3 / 6
2.53
3.53333
PAMA
CODE NUMBER : TASK C: LUBRICATION, DRAIN & REFILLING FLUID EVERY 250 HOURS 82 Oil level of Differential 83 Clutch Fluid 84 Transmission Oil Level 85 Hydraulic Oil Level & Lines Leakage 86 Windscreen washer Fluid 87 88 89 90 91 92 93 94 95 96
Engine oil Oil Filter Fuel Filter Engine Breather Element Power Steering Fluid Air Cleaner Inner & Outer Element Air Cleaner Housing , Cap & Vacuator Dust Indicator Battery Electrolyte & Box Condition Battery Terminal Conection Chassis Lubrication
Periodical Service Form (Checksheet C) FUEL TRUCK UNIT MODEL : HM ACTIVITY
STD.
Check Leak & level
20
Check Leak, level, Top-up
5
Check Leak & level
5
Check Leak & level
5
Check Leak, level, Top-up
3
Change
30
Replace
10
Replace
10
Clean
5
Check Leak, level, Top-up
5
Check Dirt, Clog, Replace if req.
10
Clean
5
Check Function
3
Check Leveling & Condition
5
Clean & Check Corrossion, Loose
3
97
Apply Grease on Gear Lever Transmission
Lubricate, Check Neeple
2
98
Brake Cam
Lubricate, Check Neeple
3
99
King Pin Bearing Upper
Lubricate, Check Neeple
3
100
King pin Bushing lower
Lubricate, Check Neeple
3
101
Spring Shackle
Lubricate, Check Neeple
5
102
Rear Brake Cam
Lubricate, Check Neeple
5
103
Steering arm
Lubricate, Check Neeple
3
104
Craddle
Lubricate, Check Neeple
3
105
Steering Cylinder
Lubricate, Check Neeple
3
106
Propeller Shaft U-Joint
Lubricate, Check Neeple
EVERY 500 HOURS
109
Transmission Oil Tranfer Case Oil Filter Front Axle Lubricated Wheel Bearing
110
EVERY 1000 HOURS Air Cleaner Inner & Outer Element
107 108
ACTIVITY Change & Check Leaks, Dirt, Clog
30
Replace
10
Change & Check Lub & Dirt
ACTIVITY Replace
PS I
PS II
PS III
PS IV
PIC
PS I
PS II
PS III
PS IV
PIC
PS I
PS II
PS III
PS IV
PIC
PS I
PS II
PS III
PS IV
PIC
3
STD.
10
STD. 15
Change
112
EVERY 2000 HOURS Water Coolant Hydraulic Filter & Top up Hydraulic Oil
Change & Check Leaks, Dirt
20
113
Differential Oil & Check Breather
Change & Check Leaks, Dirt, Clog
30
111
PLD/F-000
Mechanic C
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR
ACTIVITY
STD. 20
.
Revice : 0
Page 4 / 6
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR PAMA
PERIODICAL SERVICE FORM FUEL TRUCK UNIT MODEL : CODE NUMBER :
INSPECTION REPORT No
Problem Description
PLD/F-000
Part Number required
No. Figure
No. Index
Qty
Date of Insp
Status
Revice : 0
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