No.
FM-BAS-PLANT-016
FORM Tgl. Terbit 01-08-2018
UNIT CONDITION REPORT MAIN EQUIPMENTS Revisi 01 (21-01-2020)
Halaman 12 Halaman
PROJECT ID : Kutai Energi MODEL : Double Cab Triton HDX DATE : 29 Aug 2023
UNIT ID : BC137 S/N : MMBJNKL30MH-029160 SMU : 77994 KM
Perhatian
Caution
* Cuci unit yang bersih sebelum pelaksanaan inspeksi
Clean up the unit before inspection
* Parkirkan unit pada tempat rata dengan aman
Park the unit on flat area safely
* Yakinkan anda sudah memasang Danger atau Service Tag pada unit
Make sure you already use Danger or Service Tag on the unit
* Aktifkan parking brake
Ensure parking brake is "ON"
* Yakinkan bahwa unit yang akan diinspeksi dalam kondisi aman
Ensure the machine in safe condition to inspect
* Lampirkan form ini dengan hasil pemeriksaan ECM Engine & ECM Transmission
BACKLOG STATUS
ed
d
g
n
ng
ou
Description Remark WO No.
de
in
ke
ck
si
ak
n
ro
en
is
ra
or
Le
B
C
W
ENGINE & RELATED SYSTEM
POWER TRAIN
t
ed
d
g
n
ng
ou
Description Remark WO No.
de
in
ke
ck
si
ak
n
ro
en
is
ra
or
Le
B
C
W
OPERATOR STATION
Page 1 of 8
HYDRAULIC SYSTEM
MAIN FRAME
UNDERCARRIAGE
ed
d
g
n
ng
ou
Description Remark WO No.
de
ke
in
ck
si
ak
n
ro
en
is
ra
or
Le
B
C
W
TIRE & RIM
WORK TOOL
STANDARD EQUIPMENT ATTACHEMENT
BACKLOG REMARK
Page 2 of 8
PICTURE TAKEN FROM BACKLOG STATUS
Picture Comment
Tampak engine dari sisi kiri
Tampak engine dari sisi belakang
Tampak engine dari sisi kanan
1. Terdapat jelaga sisa pembakaran dan Si
2. Terdapat material Fe, Cr dari crankshaft, ring
piston. Cu, AI dari bearing crankshaft
Backlog Prepared By: Aknowledged By:
Name : M. Bayu Setiawan Name : Syaiful Ali Maskur
Siganture : Siganture :
Date : 29 Aug 2023 Date : 29 Aug 2023
Page 3 of 8
COMPONENT HISTORY
Last Done
No Component Description Current Comp. Life
SMU Date Comp. Fitted
ENGINE GP
TURBOCHARGER
TURBOCHARGER
FUEL TRANSFER PUMP
UNIT INJECTOR GP
RADIATOR GP
WATER PUMP
BATTERIES
ALTERNATOR
HARDNESS
ELECTRIC STARTING MOTOR
AIR COMPRESSOR GP
TRANSMISSION
TRANSMISSION PUMP
TORQUE CONVERTER
PUMP DRIVE GP
DIFFERENTIAL
AXLE HOUSING ASSEMBLY
FINAL DRIVE, BRAKE AND WHEEL
FINAL DRIVE, BRAKE AND WHEEL
WHEEL BEARING FRONT
WHEEL BEARING FRONT
BRAKE GROUP ( SERVICE BRAKE )
BRAKE GROUP ( SERVICE BRAKE )
BRAKE LINES & VALVE
AIR DRYER
STEERING CYLINDER
STEERING CYLINDER
STEERING LINKAGE & LINES
STEERING PUMP
STEERING COLUMN
STEERING METERING PUMP
SECONDARY STEERING PUMP
HYDRAULIC CONTROL VALVE
IMPLEMENT PUMP
LIFT/HOIST CYLINDER
LIFT/HOIST CYLINDER
SUSPENSION CYLINDER FRONT
SUSPENSION CYLINDER FRONT
SUSPENSION CYLINDER REAR
SUSPENSION CYLINDER REAR
DUMP BODY
Page 4 of 8
EQUIPMENT HEALTH
INSPECTION RATING & SOS RESULT
Last Inspection Rating Date:
Last Sample Taken Date: 17 Agustus 2023
Inspection Result
No Component Description Remark
P2 P1 Last
1 Engine V Engine blowby
Page 5 of 8
SOS RESULT TRENDING GRAPH
No Picture / Graph Remark
Page 6 of 8
CTS REPORT
Inspection Date:
Component Hour on Wear Surface % Worn
Position Remark
Description Left Right Left Right
Links
Bushing Internal
External
Shoes
Idlers Front
Rear
Carrier Rollers Front
Pos#2
Pos#3
Track Rollers Front
Pos#2
Pos#3
Pos#4
Pos#5
Pos#6
Pos#7
Pos#8
Pos#9
Sprocket
Remark
TIRE INSPECTION REPORT
Inspection Date:
Tire Serial RTD
Merk/Brand Tread Pattern Life Damaged Description Note
Position Number 1 2 Avg
1
2
3
4
5
6
7
8
9
10
Remark
Page 7 of 8
EQUIPMENT HEALTH REMARK
TECHNICAL ANALSYIS SUMMARY & RECOMMENDATION
Compartement Recommendation
Prepared By: Aknowledged By:
Name : M. Bayu Setiawan Name : Syaiful Ali Maskur
Siganture : Siganture :
Date : 29 Aug 2023 Date : 29 Aug 2023
Page 8 of 8
