PERIODIC / PRESERVICE INSPECTION SHEET

HINO FM

UNIT NO MODEL SMU DATE

Job Description CONDITION
OK NOT OK
ENGINE
Periksa kebocoran air (Check for water leaks)
Periksa kebocoran oli sekitar engine (Check for oil leaks around engine)
Periksa kebocoran sistem fuel (Check for fuel system leaks)
Periksa kondisi hose dan clamp (Check for conditions of hoses and clamps, replace when required)
Periksa ketegangan kondisi V-belt (Check tension and condtion of v-belt)
Periksa core radiator (Inspect radiator core)
Periksa bearing kipas dan pulley yang longgar (Inspect fan and pulley bearings for looseness)
Periksa kekencangan baut kedudukan mesin (Check engine mount bolts are tight)
Periksa sambungan sistem knalpot yang bocor (Inspect exhaust system joints for leaks)
Periksa sistem udara masuk yang bocor (Inspect air induction system for leaks)
Periksa level indikator saringan udara (Check air filter indicator level)
POWER TRAIN
Periksa transmisi untuk kebocoran oli (Check transmission for oil leaks)
Periksa Differential untuk kebocoran oli (Check Differential for oil leaks)
Periksa kondisi propeller shaft & universal utama & PTO (Check condition main & PTO driveline)
Periksa kencangkan baut kedudukan transmisi (Check trans mount bolts are tight)
Periksa semua fitting dan clamp terikat kuat ( Check for all fitting and clamps are tighness)
BRAKE AND WHEEL
Periksa kebocoran oli/ angin sekitar rem depan dan belakang (Check all brakes for oil/ air leaks)
Periksa kebocoran/aus semua hose rem (Inspect hoses and connection brake system for leaks and worn)
Periksa keausan dan catat semua ketebalan brake lining (Check wear and noted of all brake lining thickness)
Pos 1: Pos 3:
Pos 2: Pos 4:
Note : Lakukan penggantian sekaligus pada satu axle sisi kiri dan kanan ( Please do replacement of both sides in one axle )
HYDRAULIC, FRAME AND ATTACHEMENTS
Periksa kondisi slang dan jepitan hidrolik (Inspect condition of hyd hoses and clamps)
Periksa sistem hidrolic untuk kebocoran oli (Check hydraulic system for leaks)
Periksa kondisi semua steering linkages (Check condition of steering linkages)
Check all frame for cracks, fill in details inspection sheet if you find any defect
CABIN & GENERAL
Periksa kerusakan secara umum ( Check any defect generally )
Periksa pengoperasian pada pintu ( Check operation of door catch )
Periksa kondisi sabuk pengaman ( Check safety belt condition )
Periksa Kondisi Kursi Operator (Check condition of operator seat)
Periksa Kondisi Lampu (Check condition of the lights)
Periksa Kondisi Jendela Kabin (Check condition of cab windows)
SAFETY CHECK AND GENERAL
Periksa semua petunjuk safety tersedia & jelas (Check if safety sign are fitted & clear)
Periksa kondisi dan isi pemadam api (Check condition and insert of fire extinguisher)
Periksa tangga untuk naik operator (Inspect ladder for damaged)
Periksa mesin/transmissi yang panas untuk sampah (Inspect engine/transmission hot areas for rags)
Periksa semua tutup & pengaman ada dan lengkap (Check that all guards and covers are in place and secure)
Periksa kondisi ROPS (Inspect condition of ROPS)

STATUS
ITEM DEFECT
OK KWB

Mechanics Name/Signature: Mech. Sup'v

Date: Date:

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 1 of 7 Service Sheet
 Service Form
HINO FM
PM - 1000 Hours
Date Location Unit No Hours Time In Time Out
Service Tick Service Tick
1000hrs
MAINTENANCE SERVICE REQUIREMENTS )* REFERS TO PRESERVICE INSPECTION SHEET FOR DETAILED INFO
COMPARTMENT NO ITEM ACTION OK Not OK PART No 1 PART No 2 PART No 3
1 Engine Change Oil & Take Oil Sample 1 x HP427
2 Transmission Change Oil
3 Hydraulic Oil Check Level
OIL 4 Power Steering Check Level
5 Diffrential (Front & Rear) Change Oil
6 Clutch Fluid Check Level
Bertolini Water Pump Pressure Oil
7 Change Oil
(Washdown Truck)
8 Oil Filter Replace 1 x LF16110 1 x 15067-1562
9 Oil Cooler Filter Replace 1 x 15700-2320
10 Fuel Filter (Secondary) Replace 1 x 23401-1222L 1 x 23401-1332L 1 x 23401-1440L
11 Air Cleaner Outer Replace 1 x 17801-3420L 1 x 17801-3380L 1 x 17801-3360L
12 Air Cleaner Inner Replace 1 x AF26520 1 x 17801-3110L
ENGINE 13 Oil Leaks Check Condition & Repair If Required
14 Coolant Check Level, Leakage & Take Sample
15 Crankcase Ventilation Filter Clean
16 Radiator Core Check Condition & Clean
17 Fan & Belts Check Condition & Tension
18 Fuel & Intake Exhaust System Check Tighteness & Leakage
19 Differential Oil Filter Replace 1 x 15607-2060L
FILTER 20 Hydraulic Filter Replace 1 x OMTF-200AN
21 Steering Oil Filter Replace 1 x 44361-1070 1 x 44361-1060
All Mounting Bolts (Engine,
Transmission, Differential, Brake
BOLTS & NUTS 22 Check Visual (Tight If Required)
System, Steering System,Cabin, Air &
Fuel Tank)

BREATHER 23 Engine, Transmission & Axles Clean Breather

Check Operation & Condition( KIMPER

24 Steering Components Req )
Chek Condition For Wear
Steering Linkages, Ball Joint &
25 Check & Inspect Tie Rod by Dial
Mounting
Indocator
Brake (Service Brake, Exhaust Brake Check Operation & Condition( KIMPER
26
STEERING & & Parking) Req )
BRAKE Check Condition for wear
Measure Brake Lining to Drum
Brake Linning
Clearance/Adjustment (Clearance 0.25 -
27 0.30 mm)
1 2 3 4

28 Brake Chamber Check Condition & Adjust If Required

29 Brake Components Check Condition & Leakage
30 Shock Absorber Check Condition (Mounting & Leakage)
SUSPENSION
31 Spring Leaves Check Condition for Damage
32 Clutch Gear Box Check Condition & Operation
33 Clutch Booster Check Condition & Operation
TRANSMISSION
34 Transmission Linkages Check For Wear & Adjust If Required
35 Oil Leaks Check Visual & Repair If Required
36 All Mounting Bolts Check Visual (Tight if Required)
PROPELER SHAFT
37 All Drive Shaft Check Condition for Damage & Grease
38 Windscreen & Window glass Check Condition
39 Rubber Seal Check Condition
40 Door, Lock, Handle & Hinges Check Condition & Operation
41 Operator Seat & Seat Belt Check Condition & Operation
CABIN & AIR
42 All function & Indicators Check & Test if Req
CONDITIONER
43 Refrigerant Check Quantity
44 A/C Compressor Belt Check Tension
45 Bolts & Mounting Check Tightening
46 AC Filter Clean
TANK 47 Air & Fuel Tank Drain Water & Sedimen
48 Battery & Emergency Stop Check Condition & Operation
ELECTRICAL 49 Lighting System / Rotary & Alarm Check Working & Cond
SYSTEM 50 Alternator & A/C Compressor Check & Adjust Belt Tension If Required
51 Starting Motor & Electrical Harness Check Condition & Operation
LUBRICATION 52 All Hose & Grease Points Check & Lubricate
FIRE EXTINGUISHER 53 Fire Extinguisher/Supression Check Condition and Mounting
Check & Inspect, Put New if Missing
54 Wheel Nut Indicator
(Retorque wheel nut if required)
55 Tyre Pressure Front 10.00 R 20 Check Pressure (100 psi)
WHEELS & TYRES 56 Tyre Pressure Rear 10.00 R 20 Check Pressure (100 psi)
57 Wheel Bolts Check Torque The Bolts (500 lbft)
Potong/ Periksa Saringan2 bermasalah & Catat (Cut Filter/ Inspect if Indicated failure & Record ) *
Engine Diffrential
Steering Hydraulic

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 2 of 7 Service Sheet
 Periksa Particle pada Plug Magnet & Catat ( Inspect the Magnetic Plug for Particles & Record ) *
Engine Diffrential (Rear)
Transmission
Diffrential (Front)
*) Refer to Filter Cut Screen Rating TCI-PLT-PR-032.9 Magnetic Plug Rating TCI-PLT-PR-032.3
Tes Air Radiator & Catat Initialnya-Penuhkan ( PG Plus Coolant Charge & Record Initial Level-Top Up )
 3-Way™ SCA and Freeze Point Test Strips use to check: Part No. CC2602
0
1 % GLYCOL/FREEZE POINT ( F ) Result
2 MOLYBDATE ( MoO4 )
3 NITRITE ( NO2 )
 Quick-Check™ Coolant Quality Test Strips use to check: Part No. CC2718
1 CHLORIDE Result
2 SULFATE
3 COOLANT PH
Remarks :

Mechanic Service Electric Tyre Supervisor

Sign Sign Sign Sign Signature

* Refer to TCI-PLT-SP-1049 for detail instruction

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 3 of 7 Service Sheet
 Hino TRUCK TIE ROD INSPECTION

Date Inspect :
Job Site Location :
Model Unit :
Unit No. :
Unit HM :
Tool Required 1. Dial Indicator
: 2. Lever Bar
3. Vice Grip

Langkah Pengecekan Keterangan

3 Hasil Pengecekan Actual ……… mm Limit 2 mm

Check Any Defect Found Related Ball Joint Inspection

Comments :

Mechanic :
Name and signature

Mechanic :
Name and signature

Recommendation Action by Mechanic Supervisor/Leading Hand

Comments :

Name and Signature

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 4 of 7 Service Sheet
 BATTERY INSPECTION FORM

Job Site / Location :

Battery Details Machine Details
Model : Unit No. :
Voltage : Model :
Battery Rate CCA/AH : Unit HM :
Last fitted :

Not
Visual Inspection OK N/A Remarks (If Not OK)
OK
1 Battery Brakcet and Mounting bolt
2 Battery Case/body
3 Battery Guard/Cover
4 Battery Poles
5 Battery Vent Caps and Vent Holes
6 Battery Electrolyte Levels (if not Free Maintenance Type)
7 Battery Cells and Partitions
8 Battery Terminals and Connector
9 Battery Cables - & + (clamps and route)
Technical Inspection Specifications
10 Electrolyte Specific Gravity Average (Hydrometer) ...……………………s AVERAGE : 1.220 - 1.270s
11 Alternator Output Voltages When Engine Running ………………....vdc 25.5 - 28.5 vdc
12 Battery Voltages When Engine Running (UnLoaded ) ………………....vdc 25.5 - 28.5 vdc
13 Battery Voltages When Engine Running (Full Loaded) ………………....vdc 27 - 25 vdc
14 Battery Voltages
Any Discurrent WhenDrain
/ Case Engine Off
(Kebocoran Arus) ? ………………....vdc 25.2 vdc, Total Battery
15 Multimeter set on 35mA …………...……..mA < 20mA
Battery Load Testing (Must be Carried out )
16 Loaded with 200Afor 10-15sec) (AVERAGE)_Rheostat Load > 9,6 vdc, Per Battery
tester type ………..………..vdc
Battery Analyser reading status
Inspected by : Position 1 2 3 4
Measured CCA/AH
Electrician : Read result
Name and signature Position 5 6 7 8
Measured CCA/AH
Electrician : Read result
Name and signature Note :
Battery need to be Replaced if

Recommendation Action by Electric Supervisor/Leading Hand ~ Point 2,4 & 7 : Badly damage
~ Point 16 : < 6,5 vdc or < 300A
Replace the Battery ? Yes No ~ Batt. analyser result : BAD

Battery need to be Recharged if

~ All Visual Inspection OK
~ Point 16 in Range : 6,5vdc - 9,6 vdc
~ Batt. Analyser read : Good need to
Recharge or Charge
and test

Name and Signature

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 5 of 7 Service Sheet
 WHEEL INSPECTION SHEET MEDIUM TRUCK

UNIT NO: __________________ MODEL: _______________ DATE:_______________

SMU : ______________

PASANG 'OUT OF SERVICE' , 'DANGER TAG' DAN 'GANJAL BAN' ( Install 'out of service', 'Danger Tags' & 'Wheel Chock' )
PRESSURE CONDITION VALVE CAP Acc. Rim
TREAD
POS. TYRE SIZE /PLY BRAND Tyre SERIAL No. PATTERN TYPE
DEPTH ACTUAL ADJUST HOT COLD
Ada P RIM BRANDING NO. Matching Y RIM Type Remarks
/N
Kosong X
1 /
2 /
3 /
4 /
5 /
6 /
7 /
8 /
9 /
10 /
11 /
12 /
CONDITION P
JOB DESCRIPTION REMARKS
BAGUS JELEK

13 Periksa kondisi rim (Check condition rim)

R Base Rim
R Flange
R Lock Ring
14 Periksa kondisi valve dan valve cap (Check condition valve and and valve cap)
15 Periksa kondisi baut dan mur (Check condition bolt and nut)
Nama & Tanda Tangan
Remarks:
Accessories RIM Matching RIM Type
Y. Yes S. Single
N. Not Matching MP. Multiple TYREMAN / TYRE SUPERVISOR
SP. Split JDE Nomor :

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 6 of 7 Service Sheet
 Comments and Defects

STATUS TRADE PRF INITIAL

ITEM KERUSAKAN / DEFECT
KWB/REPAIRED GROUP Yes / N/A INISIAL

Service. Name/Signature Service. Sup'v

Mech. Name/Signature Mech. Sup'v

Elect. Name/Signature Elect. Sup'v

Tyre. Name/Signature Tyre. Sup'v

Note: Senior Sup'v :

KWB : Known Work Book
PRF : Part Recommended Form Date :
N/A : Not Available

HINO FM 1000 Hr
Last Updated: 10/08/2018 Page 7 of 7 Service Sheet