INSPEKSI KENDARAAN

Tanggal Inspeksi : Automotive/equipment type :

Plat Nomor : Mobil
Model : Bus
Km/Speedometer : Others :
Jenis :
Merk : Tanggal :
:
:

A NR A NR
Car, Document & Equipment G B G B
1 Front Plate / Plat No. Depan Outer Mirror / Kaca spion luar
2 Rear Plate / Plat No. Belakang 32 Right / Kanan
3 Government License / SIM 33 Left / Kiri
4 Driving Permit 34 Cleanliness / Kebersihan
5 "S T N K" Exp date:
6 Insp.Book (STUK) Exp date: Engine & Devices
Head lights or high beam / Lampu besar jauh 35 Engine oil leaks / Oli mesin
7 Right / Kanan 36 Radiator cooling water leaks / Air radiator
8 Left / Kiri 37 Brake oil / Minyak rem
Head light low beam / Lampu besar dekat 38 Windshield wiper water / Air pembersih kaca
9 Right / Kanan 39 Battery liquid / Air baterai
10 Left / Kiri 40 Fan belt / Tali kipas
Front flasher lights / Lampu tanda belok depan 41 Boom Angle Indicator
11 Right / Kanan 42 Anti two Block
12 Left / Kiri 43 Winch & Sheaves
Rear flasher lights / Lampu tanda belok belakang 44 Hook & Latch
13 Right / Kanan 45 Exhaust Pipe Gas leaks
14 Left / Kiri 46 Fuel line leaks
Brake or Stop Light / Lampu rem 47 Front tires
15 Right / Kanan 48 Rear tires
16 Left / Kiri
Back-up light / Lampu Mundur
17 Right / Kanan Remarks / Keterangan :
18 Left / Kiri Recomendasi:
19 Plate number light / Lampu plat nomor
20 Hazard light / Lampu bahaya
21 Back-up Alarm/ Alaram Mundur
22 Horn / Klakson
23 Safety belt / Sabuk pengaman
24 Hand brake / Rem tangan
25 Cabin mirror / Kaca spion dalam
26 First aid / P3K
27 Fire Extinguisher / Racun Api
28 Jack and handle/ Dongkrak dan pemutar DRIVER/ OPERATOR INSPECTED BY
29 Tire wrench / Kunci roda
30 Spare tire / Ban serap
31 Triangles / Segitiga pengaman

Remarks / Keterangan : Please check (Ö) at the box / Beri tanda (Ö) pada kotak
A = Available / Ada G = Good / Baik
NR = Not Required B = Bad (Broken) / Rusak