Anda di halaman 1dari 2

FORM CHECKLIST 1

FORMULIR
POWER ELEKTRIKAL

GEDUNG :
Hari/Tanggal :

DATA TEKNIS
A. DATA GENERATOR
1. MODEL : MAGNA PLUS 6051702
2. KAPASITAS : 40 KVA
3. MERK : MITSUBISHI

HASIL UKUR
A. DATA GENERATOR
1. TIME RUNNING .................... MENIT
2. OIL PRESS .................... KPA
3. WATER TEMP .................... °C
4. FREKUENSI .................... HZ

B. PANEL DISTRIBUSI
1. RS .................... VOLT, 380 VOLT
2. ST .................... VOLT, 380 VOLT
3. RT .................... VOLT, 380 VOLT
4. RN .................... VOLT, 380 VOLT
5. TN .................... VOLT, 380 VOLT
6. SN .................... VOLT, 380 VOLT

C. BATTERY
1. TEGANGAN BATTERY .................... VOLT DC
2. ARUS .................... AMPERE

D. KONDISI
1. RADIATOR OK/NO ...........................................................................
2. OLI OK/NO ...........................................................................
3. ACCU OK/NO ...........................................................................
Keterangan :

DIBUAT OLEH, DI PERIKSA OLEH DI KETAHUI OLEH,


CREW SUPERVISOR CHIEF ABDULLAH LOETFI

( …....……….………. ) ( …....……......) ( …....……....... ) ( …....……………………. )


FORM CHECKLIST 2
FORMULIR
AIR CONDITION

GEDUNG :
Hari/Tanggal :

LANTAI 3
1. PANASONIC 1 PK, TYPE SPLIT
2. PANASONIC 1 PK, TYPE SPLIT
3. PANASONIC 1,5 PK, TYPE SPLIT
4. PANASONIC 1 PK, TYPE SPLIT
5. PANASONIC 1 PK, TYPE SPLIT

LANTAI 2
1. PANASONIC 1 PK, TYPE SPLIT
2. PANASONIC 3/4 PK, TYPE SPLIT
3. PANASONIC 3/4 PK, TYPE SPLIT
4. PANASONIC 3/4 PK, TYPE SPLIT
5. PANASONIC 3/4 PK, TYPE SPLIT
6. CHANG HONG 1 PK, TYPE SPLIT
7. PANASONIC 1 PK, TYPE SPLIT
8. PANASONIC 1,5 PK, TYPE SPLIT
9. PANASONIC 1 PK, TYPE SPLIT
10. PANASONIC 1 PK, TYPE SPLIT
11. PANASONIC 1 PK, TYPE SPLIT
12. PANASONIC 1.5 PK, TYPE SPLIT

C. BATTERY
Keterangan :

DIBUAT OLEH, DI PERIKSA OLEH DI KETAHUI OLEH,


CREW SUPERVISOR CHIEF ABDULLAH LOETFI

( …....……….………. ) ( …....……......) ( …....……....... ) ( …....……………………. )

Anda mungkin juga menyukai