TRUCK CHECKLIST

(P2H)
No. Dok : FM-GAHRD-01, Rev.00, Tgl Terbit : 22 Jan 2015
BULAN / TAHUN : NO KENDARAAN :
JENIS KENDARAAN : NO & TGL KADALUA :

DATE / TANGGAL ELLIPS NUMBER

NAMA PENGENDARA:

Minggu
Selasa
DAY /

Kamis

Jumat
Sabtu
Senin

Rabu
HARI

NO
KM

ITEM TO BE CHECK / REMARKS /

HAZARD
BAGIAN YANG DI CEK CODE KETERANGAN
1 Engine Oil Level / Level Oli Mesin AA
2 Radiator Water Level / Level Air Radiator AA
3 Brake Fluid Level / Level Minyak Rem AA
4 Battery Water Level / Level Air Aki B
5 Tyre Condition / Kondisi Ban AA
6 Tyre Inflation / Tekanan angin Ban B
7 Wheel Nuts / Sekrup Roda AA
8 Foot Brake / Rem Kaki A
9 Hand Brake / Rem Tangan A
10 Lights Front / Lampu Depan AA
11 Lights Rear / Lampu Belakang A
12 Rotating Lamp / Rampu Rotary B
13 Indicator Lights Left / Lampu Sen Kiri B
14 Indicator Lights Right / Lampu Sen Kanan B
15 Hazard Lights / Lampu Bahaya B
16 Back-up Alarm / Alarm Mundur A
17 Seat Belts / Sabuk Pengaman A
18 Windscreen / Kaca Depan A
19 Wiper / Penghapus Kaca A
20 Rear Window / Kaca Belakang B
21 Side Windows / Kaca Samping C
22 Rear View Mirror / Cermin Pandang Belakang B
23 Side Mirrors / Cermin Sisi B
24 Body Condition / Keadaan Body C
25 Fire Extinguisher / Pemadan Api (APAR) B
26 Jack & Spanners / Dongkrak & Penyangga B
27 First Aid Kit / Kotak P3K C
28 Engine Temperature / Suhu Mesin A
29 Horn / Klakson A
30 Physical Brake Test / Uji Rem Fisik AA
31 Steering Reaction / Reaksi Kemudi AA
32 Wheel Allignment / Kelurusan Ban A
SIGNATURE
TANDATANGAN DRIVER
TANDA TANGAN HRD SPV
Note : G = Good , NG = Not Good , N/A = Not Available
Catatan :