DAILY CHECKING EQUIPMENT REPORT
ENGINEERING DEPARTEMENT
Description Morning Shift Remarks Evening Shift Remarks
A GENSET ROOM Fire Extinguisher / APAR Condition : Pressure : Condition : Pressure :
Dexlite Liter Liter
Start System genset panel Auto Man Off Auto Man Off
Start System control panel Auto Man Off Auto Man Off
Water cooler ( Radiator ) High Low High Low
Check leaking Leaking No leaking Leaking No leaking
Lighting On Off On Off
Room Condition Clean Dirty Clean Dirty
B PLN LWBP KWH KWH
WBP KWH KWH
C LVMDP/PUTR Fire Extinguisher / APAR Condition : Pressure : Condition : Pressure :
Room Condition Clean Dirty Clean Dirty
Current (Amp) R S T
R-S S-T T-R
Voltage
R-N S-N T-N
Temperature Trafo 630A (°C) °C °C
Frequency Hz Hz
Exhaust Fan On Off On Off
Lighting On Off On Off
Cap Bank 120 Kvar 1 2 3 4 5 6 1 2 3 4 5 6 25 3
Cos phi
E WTP Transfer Pump 1 Auto Man Off Auto Man Off
Pressure Gauge Bar Bar
Transfer Pump 2 Auto Man Off Auto Man Off
Pressure Gauge Bar
Transfer Pump 3 Auto Man Off Auto Man Off
Pressure Gauge Bar Bar
Clean water tenk
Ground Tank High Med Low High Med Low
Pressure Sand & Carbon Filter Bar Bar
Valve position
Check leaking Leaking No leaking Leaking No leaking
Lighting On Off On Off
Description Morning Shift Remarks Evening Shift Remarks P
r
Heat Pump Basement Heat Pump 1 Auto Man Off Auto Man Off o
Temperature Tank : °C °C Tank : °C °C P
c
Process : Process : re
Heat Pump 2 Auto Man Off Auto Man Off o
s
Temperature Tank : °C Process : °C Tank : °C Process : °C cs
e:
Return Pump Roof Pump 1 Auto Man Off Auto Man Off s
Pump 2 Auto Man Off Auto Man Off P
s
r:
Head Pump Roof Heat Pump 1 Auto Man Off Auto Man Off o
Temperature Tank : °C °C Tank : °C °C P
c
Process : Process : reP
Heat Pump 2 Auto Man Off Auto Man Off o
sr
Temperature Tank : °C Process : °C Tank : °C Process : °C csP e
e:rPs
G Swimming Pool Circulation pump No. 1 On Off Bar On Off Bar sers
Pressure : Pressure : sesu
s
srs
sesu
Circulation pump No. 2 On Off Pressure : Bar On Off Pressure : Bar :ssr
u
se
Circulation pump No. 3 On Off Pressure : Bar On Off Pressure : Bar ru
Strainer basket pump 1 condition Clean Dirty Clean Dirty er
:
Strainer basket pump 2 condition Clean Dirty Clean Dirty e
:
Strainer basket pump 3 condition Clean Dirty Clean Dirty :
Balancing tank Swimming pool High Med Low High Med Low
Test Kit Pool PH : CL : PH : CL :
Filter Valve position
Check Leaking Leaking No leaking Leaking No leaking
H BOOSTER PUMP Booster pump 1 Auto Man Off Auto Man Off
Booster pump 2 Auto Man Off Auto Man Off
Booster pump 3 Auto Man Off Auto Man Off
Roof Water Tank Level High Med Low High Med Low
Check leaking Leaking No leaking Leaking No leaking
Valve position
Electrode water level Clean Dirty Clean Dirty
I STP Return Pump 1 & 2 Normal Trouble Normal Trouble
Dislodge Pump 1 & 2 Normal Trouble Normal Trouble
Blower 1 & 2 Normal Trouble Normal Trouble
Final Pump 1, 2 & 3 Normal Trouble Normal Trouble
Exhaust fan Normal Trouble Normal Trouble
Room Condition Clean Dirty Clean Dirty
Room Temperature °C °C
PH
Meter Reading m³ m³
J KITCHEN REFRIGERATOR Item Location Temperature Item Location
Under Counter Chiller 3 Doors Main Kitchen °C Up Right Freezer 4 Doors Out side Kitch
Under Counter Chiller 3 Doors Main Kitchen °C Up Right Chiller 2 Doors 5 Cold Kitchen
Up Right Chiller 2 Doors 1 Main Kitchen °C Under Counter Chiller 2 Doors Cold Kitchen
Up Right Chiller 2 Doors 2 Main Kitchen °C Under Counter Chiller 3 Doors Patehan - Lou
Up Right Chiller 2 Doors 3 Main Kitchen °C Up Right Chiller 2 Doors Patehan - Lou
Up Right Chiller 2 Doors 4 Main Kitchen °C Under Counter Chiller 3 Doors Pasiraman - Po
Up Right Chiller 4 Doors Main Kitchen °C Up Right Chiller 2 Doors Pasiraman - Po
Up Right Freezer 4 Doors Main Kitchen °C
Ice Cube Main Kitchen °C Filter Ice Cube Condition Clean
Supervisor Checked Morning Shift Checker Evening Shift Checker
Name : Name :
Date / time : Date / time : Date / time :
DAILY CHECKING EQUIPMENT REPORT
ENGINEERING DEPARTEMENT
date : Nama :
Description Morning Shift Remarks Evening Shift Remarks
B AIR PDAM M/2 m/2
GENSET Pertamina Dex Liter Liter
Oli High Low High Low Low
Aki High Low High Low
Water cooler ( Radiator ) High Low High Low Low
Start System genset panel Auto Man Off Auto Man Off Man
Start System control panel Auto Man Off Auto Man Off Man
Check leaking Leaking No leaking Leaking No leaking No leaking
Condition area genset Clean Dirty Clean Dirty Dirty
E Pompa All Villa VoltagePump All Villa
Transfer Auto 1 Man2 3 4Off 5 6 Auto 1 Man2 3 4Off 5 6 Man
F Area Pendingin Kitchen Chiller Kichen/Table Chiller Auto Man Off Auto Man Off Man
°C °C
Frezzer kitchen Auto Man Off Auto Man Off Man
°C °C
A PENYIMPANAN AIR Front Watertank % %
Back WaterTank % % Med
Pengisian Watertank Auto Man Auto Manual
Check leaking Leaking No leaking Leaking No leaking No leaking
AREA Condition Pembuanagn kichent Clean Dirty Clean Dirty Dirty
Kondisi Gudang belakang Clean Dirty On Off Low
Partway Clean Dirty Clean Dirty
Kondisi area garden Clean Dirty Clean Dirty Low
Siram Kebun pathway Man Off Man Off Man
GENERATOR CHECKING AND MAINTENANCE RECORD
ENGINEERING DEPARTEMENT
Checking Date :
Checking Time :
No Checking Item Condition
1 Radiator Condition Leaking Rusty Dirty Good
2 Radiator Fan Condition Loose Broken Rusty Good
3 Fan Belt Tension & Condition Loose Broken Dirty Good
4 Oil Level High Med Low
5 Fuel Level High Med Low
6 Battery Water Level High Med Low
7 Battery Terminal & Cable Condition
8 Air Filter
9 Oil Leaking
10 General Condition (all cable, fuel pipe, genset physic) :
Remark on level : High : 70% - 100% Med : 40% - 70% Low : 10% - 40%
RUNNING MACHINE
Warm Up Genset
PLN Black Out
Test Run
No Starting Genset From Genset Panel Condition
1 Starting Process
2 Temperature
3 Battery Charging
4 Pressure
5 Voltage L1 - N L2 - N L3 - N L1 - L2
6 Ampere L1 : L2 :
7 Power KW : PF :
8 Energy KWH : Kvarh :
9 Frequency
10 RPM
11 Run Hour
No Starting Genset From LVMDB Panel Result
1 Starting Process
2 Manual Change Over
3 Automatic Change Over
4 General Panel Condition (all cable, relay, MCB, and Other Componen) :
Note :
Prepared by, Checked by, Anckowledge,
Technician Supervisor Asst. CE
(___________________________) (__________________________) (__________________________)
ECORD
Remark
ion
°C
Vdc
Psi / Bar
L2 - L3 L3 - L1
L3 :
KVA :
Hz
Rpm
Hour
lt
Anckowledge,
Chief Engineering
(__________________________)
PREVENTIVE MAINTENANCE
CLEANING FILTER KITCHEN REFRIGERANT
ENGINEERING DEPARTEMENT - 2015
NO EQUIPMENT DATE TECHNISIAN STATUS
1 Up Right Freezer Kitchen 01
2 Up Right Freezer Kitchen 02
3 Up Right Chiller Kitchen 01
4 Up Right Chiller Kitchen 02
5 Up Right Chiller Kitchen 03
6 Up Right Chiller Kitchen 04
7 Up Right Chiller Kitchen 05
8 Up Right Chiller Kitchen 06
9 Up Right Chiller Kitchen 07
10 Up Right Chiller Kitchen 08
11 Under Counter Chiller Lounge Bar
12 Under Counter Chiller Pool Bar
13 Under Counter Chiller Kitchen 01
14 Under Counter Chiller Kitchen 02
15 Under Counter Chiller Kitchen 03
SPV Checked, Asst. CE Checked,
____________________________________ ____________________________________
Anckowledge,
____________________________________
Chief Engineering
PARAF
PREVENTIVE ELECTRIC PANEL
ENGINEERING DEPARTEMENT - 2015
Preventive Maintenance
No DESCRIPTION LOCATION DATE TIME
Cleaning Panel
1 TRAVO 630 KVA Basement
2 LVMDP Basement
3 Genset Panel AMF Basement
4 Hydrant Panel Basement
5 P/Pump-1 Basement
6 SDP/Basement Basement
- P/Parkir Basement
- P/BOH Basement
- P/STP Basement
7 P/Kitchen Lobby
8 P/Control Lobby
9 SDP/1 Lobby
- P/Breakfast Lobby
- P/Lobby Lobby
- DB/2 Lobby
P/Office Lobby
P/Meeting 1 Lobby
- DB/3 2nd floor
P/Meeting 2 2nd floor
- DB/4 3rd floor
10 SDP/5 4th floor
- DB/6 5th floor
- DB/7 6th floor
- DB/8 7th floor
- DB/9 8th floor
P/Lift 1 Roof Top
P/Lift 2 Roof Top
11 P/Lift S Roof Top
12 P/Pump-2 Roof Top
13 P/AC Roof Top
Supervisor Checked Acknowledge,
_________________________________ _________________________________
Date : Asst. Chief Engineering
TRIC PANEL
TEMENT - 2015
Preventive Maintenance Check Voltage Check Ampere
TECHNISIAN
Check Termination R S T R S T
wledge, Acknowledge,
________________ ___________________________________
Engineering Chief Engineering
FORM MAINTENANCE HEAT PUMP
ENGINEERING DEPARTEMENT
Heat Pump Number :
Location :
Date / Time :
Before Maintenance After Maintenance
Compressor
R S T R S T
Satuan
Ampere
Voltage R-S S-T T-S R-S S-T T-S
Temperature Evaporator °C
Temperature Tube Water °C
Temperature Compressor °C
CCT 1 Suction Pressure kpa
CCT 1 Discharge Pressure kpa
Hot Supply Tank °C
CCT 1 Discharge Temperature °C
Hot Tank Temperature °C
Description of Maintenance
Technician Acknowledge,
_________________________________________
SPV Checked Asst. Chief Engineering
_____________________________________ _________________________________________
SPV Engineering Chief Engineering
enance
Satuan
°C
°C
°C
kpa
kpa
°C
°C
°C
__
__
Log Sheet Outet STP
Month & Year : _________________________________________
Date Day PH Water Meter Reading (m3) Temperature oC Usage
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Note :
Checking Everyday at MorningShift / Di check setiap morning shift
Checking on PH and also Digital PH Meter / Pengecekan PH dan PH meter digital
Checking a temperature by Thermo Degree / Pengecekan temperatur dengan thermo suhu
Prepared by, Acnowledged by,
___________________________________ ___________________________________
Engineering Administrator Asst. Chief Engineering
Time
edged by,
__________________
Engineering
FORM POUR BACTERI - TAKE OUT GREASE
SEWAGE TREATMENT PLAN
BAKTERI LN - BIO SERBUK BAKTERI LN - BIO CAIR TAKE OUT GREASE STP
DATE STP Grease Trap Drain Kitchen P1 P2
P1 (kg) P2 (kg) P3 (kg) (Liter) (Liter) (kantong) (kantong)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
UT GREASE Month : ___________________________
AN
Year : __________________________
TAKE OUT GREASE STP
P3 Bio filter Take out by Remark
(kantong) (kantong)
Prepare by,
_______________________________________
Engineering Administrator
BACKWASH SAND FILTER SWIMMING POOL
Hotel Name : __________________________________________________________
Month & Year : ___________________________________
Date Day FILTER 1 FILTER 2 FILTER 3 FOLLOW UP BY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Prepared by,
_________________________________________
Engineering Administrator
___________
_
TIME REMAKS
Prepared by,
________________________________________
Engineering Administrator
BACKWASH SAND FILTER SWIMMING POOL
Hotel Name : _______________________________________________________
Month & Year : __________________________________________
Date Day Sand Filter Carbon Filter Follow up by
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Prepared by,
__________________________________________
Engineering Administrator
L
___________
_____
Time Remark
Prepared by,
_______________________________________
Engineering Administrator
MAINTENANCE ROOM
Hotel Name : __________________________________________________________
Room :
Date :
Elektric Maintenance Report
No Dicription Location Condition follow up follow up by,
- Indoor Unit
1 AC - Evaporator
- Filter
- Conector Antena
- Quality Picture
2 TV
- Quantity Chanel
- Battery Remot
- Foyer
- Bed side lamp
3 LIGHTHING - Working desk
- Bathroom
- Balcony
- Conection cable
4 MCB - Contactor
- Key tag
- Power
5 MINI BAR
- Coldness
- Battery
6 SDB
- Display
- Line telephone
7 TELEPON
- Pesawat telephone
8 STOP KONTAK - Power
9 HAIR DRYER - Power
10 EXHOUSE FAN - Clean
11 DOOR KABA - Battery
Plumbing Maintenance Report
No Dicription Location Condition follow up follow up by,
1 BATH ROOM - Valve wastafel
- Mixing valve
- Ball valve toilet bowl
- Head shower
- Strainer wastafel
- Strainer shower
- Water tank toilet bowl
- Splush toilet bowl
- Water supply
- Drainage
Civil Maintenance Report
No Dicription Location Condition follow up follow up by,
1 CIVIL & FURNITURE - Wall
- Door closer
- Door handle
- Keramik
- Architraf
- Ceiling
- Working chair
- Working table
- Sleading door
- Tissue holder
- Room Number
- Towel rack
- Keramik
- Drainage
2 BALCONY
- Balcony deck
- Hand railing
Checked by, Checked by,
Engineering SPV House Keeping SPV
____
Remaks
Remaks
Remaks
Checked by,
House Keeping SPV
AC DATA INPUT
Room : Date :
No Description Remaks
1 Set Temperatur °C
2 Return Air °C
3 Sensor °C
4 THI ( Thermal Indoor ) R1: °C R2: °C R3: °C
5 Indoor Unit Fan Speed
6 Demand HZ
7 Answer HZ
8 Indoor Unit EEV Preasure
9 Total Indoor Unit RUN Hours
10 Outdoor °C
11 THO ( Thermal Outdoor ) R1: °C R2: °C
12 Comp HZ
13 Hight Presure Mpa
14 Low presure Mpa
15 TD °C
16 Comp Bottom
17 Current Transformer ( CT ) Ampere
18 Outdoor Unit Fan Speed
19 63HI
20 Defrost
21 Total Comp Run Hours
22 Outdoor Unit EEV1 Preasure
23 Outdoor Unit EEV2 Preasure
note : Disesuaikan dengan spesifikasi AC
KARTU PEMELIHARAAN
ENGINEERING DEPARTEMENT
KODE MACHINE / EQUIPMENT :
NO TANGGAL JENIS PEKERJAAN NAMA TEKNISI
10
11
12
13
14
15
16
17
18
19
20
TTD
