FORM NO.

PERIODICAL SERVICE
WO/JO NO.
QA10 MAINTENANCE SHEET
UD TRUCK CWE370
Date of service
Machine Model Serial Number Machine Code DD MM YY Service Meter Branch / Site Customer name Location of machine

Engine Model Engine SN Type of Attachment Every Every Every Every Every
Information
250 HM 500 HM 1000 HM 2000 HM 4000 HM
Code 1 2 3 4 5

Filling Instruction : Below are the items related to the operation, maintenance and USE UD OIL lubrication of this unit. To be serviced at periodic service and additional services
The operation & Maintenance Manual details all items to maximize machine availability

: Item to be serviced Result of Inspection : Good Condition X : Bad Condition : Correction Made

No ITEM DESCRIPTION INSPECTION GUIDELINES 1 2 3 4 5 RESULT COMMENT

A. ZONA 1
1 Engine
- Engine oil Check engine oil level l l l l l
- Engine oil Oil replacement (Engine Oil CI-4 15W-40) l l l l l
- Engine oil pan plug Check for any other material l l l l l
- Element set, oil filter (full flow) Replace element set, oil filter (2 pcs) l l l l l
- Engine oil * Take oil sample l l l l l
- Engine Mounting Check condition engine mounting front & rear l l l
- Valve Clearance Check/adjust valve clearance every 400.000 Km or 2 years l
2 Alternator dan Starting motor
- Alternator belt tensioner Check/adjust alternator belt tension l l l l l
- Alternator Check condition alternator l l l
- Starting motor Check condition starting motor l l l
Replace alternator, every 350.000 km (120A) or 200.000
- Alternator assembly
km (80A)
3 Air Conditioner
- Compressor Check/adjust A/C compressor belt l l l l l
- Air conditioner filter Check/clean A/C fresh filters l l l l l
- Refrigerant Check refrigerant level l l l l l
4 Cooling System
- Coolant Check coolant level l l l l l
- Radiator Check & clean radiator fins & oil cooler fins l l l l l
- Radiator Check condition fan belt radiator l l l l l
- Flushing cooling system, 9000 Hm Flushing cooling system, 9000 Hm / 2 years
5 Air System
- Air cleaner Replace inner & outer air cleaner l l l
- Dust indicator Reset dust indicator l l l l l
- Dessicant for air dryer Replacement dessicant for air dryer l
- Cartridge for oil mist separator Replacement cartridge for oil mist separator l
6 Fuel and exhaust system
- Element set fuel filter (1st primary) Replace Element set fuel filter (1st primary) l l l l l
- Element set fuel filter (engine main filter) Replace Element set fuel filter (engine main filter) l l l l l
- Cartridge fuel filter secondary Replace cartridge fuel filter secondary l l l l l
7 Steering System
- Steering oil Check power steering oil level l l l l l
- Steering oil Replace oil l
- Steering filter Replace steering filter l l
- Steering function Check steering function l l l l l
- Tie Rod & Steering Arm Check condition joint of rod and steering arm l l l
- Steering wheel Check steering wheel for operation l l l l l
- Steering linkage Check steering linkage l l l l l
- Ball joint Check ball joint dust boot for cracks & damage l l l l l
- Knuckle joint Check knuckle joint for looseness l
- Wheel alignment Check wheel alignment l
8 Cabin
- Instrument cluster Check function l l l l l
- Instrument cluster Clear all fault l l l l l
- Panel switch functon Check function l l l l l
- Gear shifting lever Check function l l l l l
- Operator Seat Check function l l l l l
- Dump Cabin Check function l l l l l
- Lamp Check all lamp function l l l l l
9 PPM Do PPM before and after unit serviced l l l
* Dilakukan sesuai dengan kebijakan cabang/site
Mechanic Leader Supervisor
Signature : Signature : Signature :

( )( )( ) Sheet 1 of 2
 FORM NO.
PERIODICAL SERVICE
WO/JO NO.
QA10 MAINTENANCE SHEET
UD TRUCK CWE370
Date of service
Machine Model Serial Number Machine Code DD MM YY Service Meter Branch / Site Customer name Location of machine

Engine Model Engine SN Type of Attachment Every Every Every Every Every
Information
250 HM 500 HM 1000 HM 2000 HM 5000 HM
Code 1 2 3 4 5

Filling Instruction : Below are the items related to the operation, maintenance andUSE UD OIL lubrication of this unit. To be serviced at periodic service and additional services
The operation & Maintenance Manual details all items to maximize machine availability

: Item to be serviced Result of Inspection : Good Condition X : Bad Condition : Correction Made

No ITEM DESCRIPTION INSPECTION GUIDELINES 1 2 3 4 5 RESULT COMMENT

B. ZONA 2
1 Hydraulic System
- Hydraulic oil Check oil level l l l l l
- Hydraulic oil Replace hydraulic oil l
- Hydraulic oil * Take oil sample l l l
- Hydraulic system Check condition, any leakage l l l l l
2 Battery
- Battery fluid Check battery fluid level l l l l l
- Battery fluid Check specific grafity using refractometer l l l l
- Battery Check battery voltage l l l l l
3 Transmission
- Transmission oil Check transmission oil level l l l l l
- Transmission oil Replace transmission oil (Gear Oil GL-4 80W-90) l l l
- Element set oil filter Replace Element set oil filter l l l l
- Transmission oil * Take oil sample l l l l
- Transmission mounting Tighten transmission mounting bolt & nut l l
4 Clutch
- Clutch fluid level Check clutch fluid level l l l l l
- Clutch fluid Replace clutch fluid l
- Clutch Check main clutch function l l l l l
- Clutch Check clutch air cleaner for dirt and damage l l l l
5 Axle & Differential
- Front axle Check front axle for cracks, damage and deformation l
Check rear axle housing for cracks, damage and
- Rear axle l
deformation
- Differential oil Check FR & RR differential oil level l l l l l
- Differential oil Replace differential oil (Rear Axle Oil GL-5 85W-140) l l l
- Differential oil * Take oil sample l l l l
- Axle shaft Check/retighten axle shaft mounting bolt l l l
6 Propeler Shaft
- Sliding shaft and universal joint Check sliding shaft and universal joint for looseness l
- Center bearing Check center bearing for looseness l
- Center bearing Check center bearing rubber crack and damage l
7 Chassis
- Chassis Greasing for chassis l l l l l
- Chassis Check condition chasis from Crack l l l l l
8 Wheel
- Wheel nuts Tightness of wheel nuts l l l l l
Rim, side ring and wheel disc for
- Check rim, side ring and wheel disc for damage l
damage
- Wheel bearing Check front and rear wheel bearing for looseness l l l
- Wheel bearing grease Replace grease for wheel bearing l l l
9 Suspensi
- Shock absorber Check condition shock absorber l l l l l
- Stabilizer Check stabilizer for damage l l l l l
- Front spring Check condition front spring, bracket & pin l l l l l
Check condition rear spring, bracket,Torque rod, U-bolt,
- Rear spring l l l l l
turnion, boogie
10 Brake System
Lining brake, slack adjuster, brake Check lining brake thickness, slack adjuster condition,
- l l l l l
drum brake drum condition

- Brake expander rubber parts and clip Check brake expander rubber parts and clip l

- Brake camshaft for wear and damage Check brake camshaft for wear and damage l
- Air compressor & air pressure governor Check air compressor & air pressure governor l
* Dilakukan sesuai dengan kebijakan cabang/site
Mechanic Leader Supervisor
Signature : Signature : Signature :

( )( )( ) Sheet 2 of 2