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PAMA
CODE NUMBER :
PLD/F-000
PERIODICAL SERVICE FORM LUBE 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 )
PAP SAMPLE
ENGINE OIL (QTY BOTTLE) Mechanic
TRANSMISSION OIL (QTY BOTTLE) DIFFERENTIAL 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
ATTACHMENT
RECHECK
12
BRAKE FUNCTION
RECHECK
13
TRAVEL FUNCTION
RECHECK
14
OIL/WATER/FUEL LEAKAGE
RECHECK
GL
HYDRAULIC OIL (QTY BOTTLE)
NAME
SIGN
Revice : 0
Page 1 / 6
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR PAMA
Periodical Service Form (Checksheet A) LUBE TRUCK UNIT MODEL :
CODE NUMBER : TASK A : INSPECTION & QUALITY CONTROL EVERY 250 HOURS
PLD/F-000
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
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
Mechanic A
Drive, Check & Test
Check Physical Condition of Engine 24 25 26 27 28 29 30
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 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
Diaphragma Pump
Check Leak
5
45
Hose Reel
Check Leak
5
46
Oil Flow Meter
Check Function
5
47
Oil Gun
Check Leak
5
48
Grease Pump
Check Function,Leak
31 32 33 34
Check & Maintenance of Attachment 35 36 37 38 39
EVERY 500 HOURS 49 50
AC Air Filter AC Condensor & Evaporator
ACTIVITY Replace Clean & Check Dirt, Clogged
5
STD. 3 10
3.4333 V
Kotak checkmark sebagai tanda bahwa recheck telah dilakukan untuk critical item
Revice : 0
Page 2 / 6
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR PAMA
Periodical Service Form (Checksheet B) LUBE TRUCK UNIT MODEL :
CODE NUMBER : TASK B : INSPECTION & MEASUREMENT
PLD/F-000
HM
EVERY 250 HOURS
ACTIVITY
STD.
PS I
PS II
PS III
PS IV
PIC
PS IV
PIC
Rear Suspension, Propeller shaft & Joint Inspection
53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
Rear shock absorber & Mounting bracket Nut Hollow spring Bogie bushing RH & LH
Check Leak, Broken & Retorque, Worn Check Worn,Damage
10
Spring, U-Bolt & Retorque nut V Stay ; Torque Rod & Torque the Bolts
Check Broken, Loose Check Worn out, Loose
10
Chassis Frame & Cross Member Propeller Shaft, U-Joint and retorque bolt
Check Crack, Loose Bolt Check Worn, Loose
10
Check Worn, Loose
3
Rear Rear Axle RH Lining & Seal hub Rear Rear Axle LH Lining & Seal hub
Check Worn , Leaks Check Worn , Leaks
5
Rear Front Axle RH Lining & Seal hub Rear Front Axle LH Lining & Seal hub Axle & Differential housing & Breather
Check Worn , Leaks Check Worn , Leaks Check Crack, Damage , Clean
5 10
Slack Adjuster & Camshaft brake Load Sensing Valve
Check Worn, Malfunction
5
Check Leaks, Damage Check Worn , Leaks Check Worn , Leaks
3
Front Suspension, Steering gear Inspection Shock abshorber, Front Spring & Torque U-Bolt Nut
Check Broken, Worn/Thin
10
Pitman arm, Link rod & Cleareance all Ball Joints Steering linkage condition
Check Worn, Loose Check Worn Out, Loose
5
Steering Knuckle bearing Rubber Stopper
Check Damage Check Worn Out
10
Check Leaks, damaged seal
2
Check & Clean Check Leaks
2
Check Leaks, lot of water
2
Check Leaks, Crack Clean, Check Clogged, Dirt
5
Rubber Stopper Brake Lining Measure
Front Axle RH Lining & Seal hub Front Axle LH Lining & Seal hub
Transmision Clutch Housing Transmission Breather Oil cooler Physical inspection & Repair Release pressure on Air Reservoir Tank Fuel tank Hoses, pipe & Mounting Straps Fuel Tank Strainer & Breather EVERY 4000 HOURS Measured Front Wheel Alignment Measuring Toe in / Toe out
5 10 5
5 5
5 5
5 3
2
ACTIVITY
5
STD.
Measure, Check Out of Standart
15
Measure, Check Out of Standart Measure, Check Out of Standart
15
80
Measuring Camber Measuring King pin Inclination
81
Measuring Caster
Measure, Check Out of Standart
15
78 79
Revice : 0
Mechanic B
52
15
Mechanic B
51
Page 3 / 6
PAMA
Periodical Service Form (Checksheet C) LUBE TRUCK UNIT MODEL :
CODE NUMBER : TASK C: LUBRICATION, DRAIN & REFILLING FLUID EVERY 250 HOURS 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97
HM ACTIVITY
STD.
Oil level of Differential Clutch Fluid
Check Leak & level
20
Check Leak, level, Top-up
5
Transmission Oil Level Hydraulic Oil Level & Lines Leakage
Check Leak & level
5
Check Leak & level
5
Windscreen washer Fluid Engine oil Oil Filter
Check Leak, level, Top-up
3
Change
30
Replace
10
Fuel Filter Engine Breather Element
Replace
10
Clean
5
Power Steering Fluid Air Cleaner Inner & Outer Element
Check Leak, level, Top-up
5
Check Dirt, Clog, Replace if req.
10
Air Cleaner Housing , Cap & Vacuator Dust Indicator
Clean
5
Check Function
3
Battery Electrolyte & Box Condition Battery Terminal Conection
Check Leveling & Condition
5
Clean & Check Corrossion, Loose
3
Lubricate, Check Neeple
3
Lubrication / Greasing Front Spring Pin & Shackle Pin
Lubricate, Check Neeple
3
99
Tie - Rod End Propeller-Shaft Journal & Yoke
Lubricate, Check Neeple
10
PTO Propeller Shaft U-Joint Transfer Control Linkage ( TZA series )
Lubricate, Check Neeple
3
100
Lubricate, Check Neeple
3
Rear Spring Contact Seat Drag Link End
Lubricate, Check Neeple
3
Lubricate, Check Neeple
3
Steering Column Journal & Yoke Trunnion Shaft Engine Water Pump Pulley ( TZA series )
Lubricate, Check Neeple
3
Lubricate, Check Neeple
3
Lubricate, Check Neeple
3
Door Hinge ( TZA series ) Clutch Release Shaft
Lubricate, Check Neeple
3
Lubricate, Check Neeple
3
Brake Camshaft & Slack Adjuster Clutch Release Sleeve
Lubricate, Check Neeple
3
Lubricate, Check Neeple
3
Engine Water Pump Birfield Ball Joint
Lubricate, Check Neeple
3
98
101 102 103 104 105 106 107 108 109 110 111
Lubricate, Check Neeple Change & Check Leaks, Dirt, Clog
30
113
Replace
10
114
Front Axle Lubricated Wheel Bearing
Change & Check Lub & Dirt
115
EVERY 1000 HOURS Air Cleaner Inner & Outer Element EVERY 2000 HOURS
117
Water Coolant Hydraulic Filter & Top up Hydraulic Oil
118
Differential Oil & Check Breather
116
ACTIVITY
ACTIVITY
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
EVERY 500 HOURS Transmission Oil Tranfer Box Oil Filter
112
PLD/F-000
Mechanic C
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR
STD.
10
STD. 15
Replace
ACTIVITY Change
STD. 20
Change & Check Leaks, Dirt
20
Change & Check Leaks, Dirt, Clog
30
.
Revice : 0
Page 4 / 6
PT PAMAPERSADA NUSANTARA MINING CONTRACTOR PAMA
PERIODICAL SERVICE FORM LUBE TRUCK UNIT MODEL : CODE NUMBER :
INSPECTION REPORT No
Revice : 0
Problem Description
Part Number required
No. Figure
No. Index
Qty
Date of Insp
Status
Page 5 / 6
