Академический Документы
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Культура Документы
MAK FORM:_________
OPERATOR BN:
SUPERVISOR BN:
ORG CODE:
LOCATION:
EQUIPMENT NO:
MODEL:
CAPACITY:
DATE:
TRAVEL TIME:
OPERATING TIME:
HOURS WORK:
PHASE
ITEM
NO.
ITEM NAME
1.1
1.2
1.3
Air Reservoir
1.4
1.5
1.6
1.7
1.8
1.9
Seat Belt
1.10
Fire Extinguisher
1.11
1.12
1.13
Fan Belts
2.1
Engine Start
2.2
Voltmeter / Ammeter
2.3
Turn Signal
2.4
Horn Light
2.5
2.6
2.7
2.8
2.9
2.10
2.11
2.12
Blade Condition
3.1
Steering System
3.2
Back Up Alarm
OPERATOR SIGNATURE:
SAT
UN-SAT
N/A
SUPERVISOR SIGNATURE:
REFERENCES
SUPERVISOR BN:
ORG CODE:
LOCATION:
EQUIPMENT NO:
MODEL:
CAPACITY:
DATE:
TRAVEL TIME:
OPERATING TIME:
HOURS WORK:
PHASE
ITEM
NO.
ITEM NAME
1.1
1.2
1.3
Air Reservoir
1.4
1.5
1.6
1.7
1.8
1.9
Seat Belt
1.10
Fire Extinguisher
1.11
1.12
1.13
Fan Belts
2.1
Engine Start
2.2
Voltmeter / Ammeter
2.3
Turn Signal
2.4
Horn Light
2.5
2.6
2.7
2.8
2.9
2.10
2.11
2.12
3.1
Steering System
3.2
Back Up Alarm
3.3
OPERATOR SIGNATURE:
SAT
UN-SAT
N/A
SUPERVISOR SIGNATURE:
REFERENCES
SUPERVISOR BN:________________
ORG. CODE:
LOCATION:_____________
EQUIP. NO.:_______
MODEL:_________________________
CAPACITY:
DATE:
HOUR METER
_______________
TRAVEL
START:___________
TIME:_______
OPERATING TIME:_______
HOURS WORK:__________
ITEM NO.
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.14
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.14
PHASE
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
2.0
ITEM NAME
PANEL GLASS MIRROR
UNDER CHASIS LEAK
AIR RESERVOIR
TIRE CINDITION & PRESSURE
TIRE THREAD & SIDE WALLS
DECK HOUSEKEEPING & LEAK
COOLANT LEVEL (RADIATOR)
ENGINE OIL LEVEL
FIRE EXTINGUISHER
HYDRAULIC OIL LEVEL
BATTORY TERMINAL & CABLE
FAN BELTS
ENGINE START
VOLTMETER / AMMETER
HORN / LIGHT
ENGINE OIL PRESSURE GAUGE
ENGINE OIL TEMP. GAUGE
FUEL GAUGE LEVEL
AIR PRESSURE GAUGE / BREAK CHECK
TRANSMISSION OIL LEVEL
AIR FILTER / RESTRICTION CONDITION
HYDRAULIC FILTER CONDITION
LOADER CONDITION
STEERING SYSTEM
BACK-UP ALARM
IGLOO
FIRE EXTINGUISHER
HOOD
SAT
UNSAT
N.A
REMARKS /
ACTION