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WATER PUMP PRE-MOB INSPECTION REPORT

Applies to Water Pump

Equip. No. : Type : Model : Brand :

Serial No. : Hourmeter : Service Date :

Inspected by : Date : Location : Owner :

d
oo
Description to be Checked Remarks

/A
oo

N
G

o
N
Equipment Documentation

1 Today's Pre-Trip Inspection Original Copy Available on Unit

2 Original Manufacturer Name Plate Year of Manufacture

3 Original or a Copy of Operation Manual Book Matches Unit Type and Series

4 SOP - Standard Operating Procedure Based on OEM Operation Manual Book

5 Company ID Number, Company Logo Correct Size, Minimum 10 Cm Height, Visible

Mandatory Safety Inspections and Devices

1 Trailer Towing Ring -Towing Connecting Devices Not Bent, No Fatigue Cracks

Trailer Wheels and Tires, Wheel Condition, No Broken-Missing Lug Nuts, Tread Depth Minimum
2
3mm,
Trailer Suspension System, Springs, Brakes
3 No Loose Axle Mount Bolts, No Worn Out Spring Bushings and Pins All U-Bolts Tight, No Cracks,
Parking Brake Functional
4 Electrical Wiring Condition Fuse Block, All Splices Properly Insulated, No Bare Wires
Safety Covers and Guards All Covers in Place, Not Loose, None Missing, Not Modified, Remain
5
within OEM Specs
6 Safety Stand Leg Not Bent, Not Unsafe or in Danger of Collapsing

Engine and Main Pump Unit

1 Engine Clean Appearance, No Leaks, No Defective Mounts, Observe Performance

2 Engine Dipstick Easy to read, Oil Level Adequate

Battery, Battery Covers, Battery Mounting, Battery Terminals

3 Optional Battery Disconnect Switch, Test Function, No Loose or Corroded Cables-Terminals, Battery
Hold-Downs in Place, Clean Battery Box, No Loose Mounts

4 Starter Motor Test Function, Adequate Cranking Strength, No Bad Noises or Overheating

Alternator
5
Observe Charging Function, No Bad Noises or Overheating, No Loose Mounts, No Loose Belts
6 Cooling System, Radiator, Hoses No Leaks, No Perished Hoses

7 V-Belts or Serpentine Belts Not Loose, Not Squealing, Not Cracked

8 Exhaust System, Pipe, Muffler No leaks, Not Loose

9 Hose and Pipes Properly Secured, No Leaks

10 Pump Housing No Cracks, No leaks

11 Flexible Drive Coupling between Pump and Engine No Loose Bolts, No Excess Misalignment

12 Pump Mounting No Cracks, No Loose Mount Bolts

Frame and Body

1 Body Condition Good Paint and General Appearance, No Excess Damage, No Rust
2 Engine Cover Hinges Inspect Latches for Safety Holding Brackets, Can NOT Pinch Fingers

Servicing and Maintenance

1 Maintenance Schedule - PM and PdM Service Records Available

Others
1
2
3
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d
oo
Description to be Checked Remarks

/A
oo

N
G

o
N
Comments
Good = Good condition, able to be operated
in all CPI areas
No Good = Broken, Malfunction, Repair or
Replace

N/A = Not Applicable

Inspected by: Acknowledged by RW and CPI The undersigned hereby accept and agree
that this equipment is "OK" and safe for
operation. Menerima dan Menyetujui
bahwa Alat ini sudah "OK" dan aman
untuk dioperasikan.

SIGNATURE, Date

RW-CEM RW-HES
Contractor's Name
C-034-RW-12 - Rev-1 - Oct-12