Scribd Logo
Upload

Welcome to Scribd!

  • 1 views

    01.CHEKLIST Harian 2024 A1

    Uploaded by

    Ayank Fadhil

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    01.CHEKLIST Harian 2024 A1

    Uploaded by

    Ayank Fadhil
    1 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1 views2 pages

    01.CHEKLIST Harian 2024 A1

    Uploaded by

    Ayank Fadhil

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FORM CHEKLIST HARIAN UNTUK AMBULANCE

    JENIS KENDARAAN : AMBULANCE Ket: item tidak ada


    KODE KENDARAAN : A1
    BULAN / TAHUN : JULI 2024
    KANTOR : UPBU KELAS III KUALA KURUN
    TANGGAL
    SISTEM NO PEKERJAAN
    1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 31
    1 Periksa clearance light

    2 Periksa haeadlamp OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    3 Periksa signal light

    4 Periksa back-up lamp

    5 Periksa lampu rem OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    6 Periksa hazard light OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK


    ELEKTRONIK

    7 Lakukan pemeriksaan pada pengoperasian klakson OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    Lakukan pemeriksaan pada pengoperasian sirine (mode and


    8 OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
    switch)

    9 Periksa fungsi semua saklar dan lampu indikator OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    10 Periksa intersection lamp OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    11 Periksa wig wag headlamp

    12 Periksa strobe flasher

    13 Periksa apakah ada pertukaran udara yang cukup OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    14 Periksa fungsionalitas dari setiap outlet 110V OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    15 Periksa fungsionalitas dari setiap outlet 12V OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    16 Periksa sambungan ground pada semua sirkuit OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    1 Periksa dan amankan semua arm rest dan inner door panel OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    Periksa dan amankan semua papan berjalan, pijakan dan


    2 OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
    BODY attachment

    3 Periksa semua fungsionalitas semua pintu eksterior OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    4 Periksa fugsionalitas kunci pada semua pintu OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK


    TANGGAL
    SISTEM NO PEKERJAAN
    1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 31
    Periksa fungsionalitas dari perangkat Cot Anchor, lakukan
    1 pengaturan jika diperlukan dan lubrikasikan sesuai spesifikasi OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
    FIRST AID pabrikan

    2 Periksa apakah laju aliran oksigen disetiap outlet sudah tepat OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    1 Nyalakan mesin dan periksa apakah terdapat kebocoran oli OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK


    MESIN
    Pada akhir shift,lakukan penambahan bahan bakar sampai tangki
    2 OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
    berada pada kondisi FULL (penuh)

    Penghasil Listrik Periksa sisa air baterai dan terminalnya OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    1 Periksa tekanan ban dan catat OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK


    KEMUDI
    Periksa keadaan ban, apakah sudah gundul atau masih layak
    2 OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
    dipakai

    REM Lakukan pemeriksaan pada pengoperasian rem OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK

    Mengetahui,
    Koordinator Unit PKP-PK Penanggung Jawab Kendaraan Disiapkan Oleh,

    TEDDY P. LUNDJU FREDGLY ANTONIUS FREDGLY ANTONIUS


    NIP.19860315 200912 1 004 NIP. 19890722 201503 1 003 NIP. 19890722 201503 1 003

    You might also like