Daily Checklist Inspection Light
Vehicle
Doc. No. 26071-JO-HSE-INS-024
Effective Date 20 June 2020
Revision No. 001
Company : JO Reg Number :
Perusahaan Nomor Reg. JO
ID Equipment Number : Serial Number :
Nomor ID Alat Nomor Seri
Period / Periode :……………/…………. to / sampai ……… /………….20…
OK NA DEFECT
DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
KM Driven
Jarak Tempuh kendaraan
Seat, seat belt
Tempat duduk, sabuk pengaman
Windshield, washer
Kaca depan, pembersih
Windshield wiper
Wiper kaca depan
Rear view mirrors
Kaca spion
Engine oil leaks
Kebocoran oli mesin
Coolant leaks
Kebocoran pendingin
Fuel leaks
Kebocoran bahan bakar
Exhaust leaks
Kebocoran exhaust/knalpot
Motor oil level
Level oli motor
Radiator water level
Level air radiator
Wind / washer level
Kecepatan angina dan pembersih
Power steering level
Level power steering
Fan / Alternator Belts
Kipas / sabuk alternator
Steering / loose part
Kemudi / bagian yang lepas
Headlights, high/low
Lampu depan, terang/redup
Signal lights left-right
Lampu sein kiri-kanan
Tail lights / brake lights
Lampu belakang / lampu rem
Hazard light
Lampu hazard
DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Horn, back up alarm
Klakson, alarm mundur
Back up lights
Lampu mundur
Gear transmission
Gigi / Transmisi
Foot brake
Rem Kaki
Parking Brake
Rem tangan / parkir
Windows open / close
Buka / tutup jendela
Doors Open / Close
Buka / tutup pintu
Body damage
Kerusakan body
Registration Plate
Nomor registrasi
Rattles / Vibrations
Rattles / getaran
Jack with handle
Jak dengan pegangan
Tools
Peralatan
Fire extinguisher
APAR
First aid kit
Kotak P3K
Condition of Tires
Kondisi ban
Spare tire
Ban cadangan
Name of Operator
Nama Operator
Signature
Tanda Tangan