NOTIFICATION & WORK ORDER SHEET
Notification No. Subject / Description Of Fault / Broken
Week No. : Equipment No. : 82MA0200 - SPEED BOAT, PRIMA 5 (ILSS)
Planned order : Equipment Description. : 82MA0200 - SPEED BOAT, PRIMA 5 (ILSS)
Unplanned Order : Location : Interport Business Park Kariangau
Dayshift : Est. Work Duration : hrs Actual Hrs : 0.0
Night Shift : Schedule Start Date :
Work Order No.
Malfunction Start Date : Time In :
Malfunction End Date : Time Out :
Hour Meter : hrs Total Hrs : 0.0
REQUIREMENT LABOR
BADGE NO NAME POSITION BADGE NO NAME POSITION
MATERIAL / SERVICE PART
MPN Manufacture No Part Description Qty Unit Issue Voucher No Reservation No.
Action / Detail of Job / Operation
Notif No. WO :
Performed By Reviewed By Approved By
Insert your Sign Insert your Sign Insert your Sign
Mechanic / Electric Foreman / Supervisor Maint. Superintendent
Once printed this document becomes uncontrolled. Refer to ISO certified beyond360 Management
Doc No. IMU-CORP-AM-FO-004 System for controlled copy Page 1 of 6
NOTIFICATION & WORKORDER SHEET
QUALITY ANSSURANCE CHECKLIST
Notification No.
Schedule Start Date :
Work Order No.
Week No. :
Subject :
Equipment No :
82MA0200 - SPEED BOAT, PRIMA 5 (ILSS)
Catatan : Sebagai penjamin kualitasterhadap hasil pekerjaan pada unit / komponent yang tertera dala Jon Sheet Notification Order
yang telah di tanda tangani oleh Supervisor, Foreman pada form Notif ini, dan Superintendent berkewajiban mereview dan
bertangung jawab sepenuhnya terhadap isi dari job sheet form Notification Order tersebut dengan juga memastikan
semua item checklist pada form Notification Order dibawah ini telah di konfirmasi seluruhnya.
Quality Assurance Checklist Item :
1. Pastikan pekerjaan yang tertera pada Notification Order form (tindakkan perbaikan dan perawatan
system/unit) sudah terselesaikan dan system atau unit telah kembali pada speksifikasi asli
maupun kembali berfungsi dengan normal
Ensure job noted dalam Notification Order form (system / unit maintenance and repair action) have
been resolved and the system or unit has returned back to original specification or operation.
2 Pastikan semua item rekomendasi (jika ada) pada activity task dalam form sudah terselesaikan
Ensure all recommendation item (if any) in the activity task of form has been completed
3 Pastikan kualitas & penyelesaian pekerjaan sesuai dengan prosedur kerja yang ada untuk menghindari atau
meminimalisir resiko terjadinya rework atau redo job
Ensure the quality and completion of work are in accordance with the exiting work procedures to avoid and
minimize the risk of job rework or redo.
4 Pastikan semua doument pendukung sudah diselesaikan dan terlampir besama Notification Order jobsheet
form
(Contoh : jika ada Service Package, Inspection Check List, Test Perfoma)
Esnure all supporting documents have been completed and attached with Notification Order form
(Example : Service Package, Inspection Check List, Perfomance Test)
5 Pastikan unit yang telah di selesaikan tindakan perbaikan ataupun perawatannya sudah dalam posisi &
kondisi aman untuk kembali beroperasi
Ensure the unit which has had its repair or maintenance completed to handed back in a safe position and
condition to get back for operation
Superintendent Comment
Superintendent Approval
Insert your Sign
Superintendent Date Signature
Once printed this document becomes uncontrolled. Refer to ISO certified beyond360 Management
Doc No. IMU-CORP-AM-FO-004 System for controlled copy Page 2 of 6
Backlog Record
Equipment No. : 82MA0200 - SPEED BOAT, PRIMA 5 (ILSS) Notif No. : WO No. : Date :
Priority
No Subject Fault Defect Found Action Need To Do Components Part No Part Description Qty Remarks
P1 P2 P3
10
Legends :
P1 :Immediately Action
P2 :Next Week Plan (including preparation tools, parts & PRTS..etc) Inspection by Checked by Aknowledge by
P3 :Next PM_Service Including
Mechanic / Electrician Supervisor Superintendent
Once printed this document becomes uncontrolled. Refer to ISO certified beyond360 Management
System for controlled copy Page 3 of 6
REGULAR SAFETY MECHANICAL INSPECTION
Marine Transportation (Prima 5)
No OK Not N/A
Task Description / Deskripsi Tugas Remarks / Comments
OK
A. PRE-START SAFETY ACTIVITIES
1 Catat Hours Meter (tidak termasuk bilangan desimal), Down time/ Delay
Record Hour Meter (Non decimal point), Down Time/ Delay
2 Matikan Mesin
Turned Off Engine
3 Pasang 'Master Lock' dan Kartu Isolasi oleh Pengawas
Apply Master Lock & Tie 'Isolation' Tag by Supervisor
4 Pasang Tanda Bahaya Pribadi dan Kartu Peringatan Service
Tie 'Personal Danger' tag & 'Out of Service' tag
5 Dilarang yang Tidak Berkepentingan Berada di Sekitar Unit
All Unauthorized Persons should be Kept from the Machine when Maintenance being Performed
6 Gunakan APD yang Tepat
Used Personal Safety Gear
7 Tabung Pemadam Kebakaran
Fire Extinguisher
8 Tanda/Label Peringatan Tersedia dan Jelas
All Warning Tags/Safety Labels Fitted & Clear
B. ENGINE
1 Periksa Baut dan Mounting Mesin dari Keausan
Check Bolts & Mounting Engine from Loose & Wear
2 Periksa/ Bersihkan Air Cleaner dan Tempatnya
Check/ Clean Air Cleaners & Housing
3 Periksa Kondisi Saluran Udara Masuk dan Gas Buang
Check Condition Air Inlet & Exhaust System
4 Periksa Kondisi Tali Kipas dan Stel Ketegangannya
Check Condition of V-Belts & Adjust Tension if Necessary
5 Periksa Ketinggian Air Radiator dan Tambah Coolant Additive
Check Coolant Radiator Level & Add Additive if Necessary
6 Cuci Kisi-kisi Radiator
Clean Radiator Fins
7 Periksa Water Pump
Check Water Pump
C. POWER TRAIN
1
Ring Buoys (fixed complete on place)
2
Adequate Life Jackets
3
Safety Signs
4
SOP / Emergency Procedure
5
Fire Extinguishers fixed on place
6
Cleanness / house keeping
7
Compass
8
ESD fixed on the captain cabin
9
Stirring
10
Documents of the boat
11
First Aid Kit
12
Emergency Procedure
13
SKK Driver
14
Radio communication
15
No smoking sign
16
Anchor and its rope
17
Vender
18
Leaking on body
19
Navigation light
20
Fog lamp
21
Driver/passenger seats
22
Battery cover
23
Wiper
24
Horn / Klaxon
Once printed this document becomes uncontrolled. Refer to ISO certified beyond 360
Management System for controlled copy Page 4 of 6
REGULAR SAFETY MECHANICAL INSPECTION
Marine Transportation (Prima 5)
No OK Not N/A
Task Description / Deskripsi Tugas Remarks / Comments
OK
25
All ropes for long side
26
Water pump
27
Basic PPE
28
Ear protection equipment
29
Rotary / flashing light
30
Temporary toilet
E. CABIN
1 Kaca Depan, Jendela
Windscreen & Window glass
2 Pelapis Karet
Rubber Seal
3 Pintu, Pegangan Tangan , Pengunci dan Engsel
Door, Lock, Handle & Hinges
4 Dudukan dan Suspensinya
Mounting & Suspension
F. ELECTRICAL INSPECTION
1 Klakson
Horn
2 Sekring dan Panel Dashboard
Fuse and dashboard panel
3 Fungsi Kerja Kipas Kaca
Washer Wipers Function
4 Kipas Kaca
Wiper Blade
5
Air Conditioner
6 Lampu Kabin
Cabin Lamp
7 Lampu Depan
Front Floodlights
8 Lampu Kerja Belakang
Rear Floodlights
9 Lampu Mundur
Reverse Lamp
10 Lampu Rotari
Rotary Lamp/Flash Light/ Strobe Light
11 Tegangan Keluar Alternator
Alternator Output Voltage
12 Kondisi Alternator, Belt serta Penyetelnya
Alternator, Belt Condition & Adjuster
13 Pemutus Hubungan Baterai
Battery Disconnect Switch
14 Kondisi & Beban Kerja Baterai
Battery Condition & Load
15 Level Air Baterai
Electrolyte Level
16 Kabel & Terminal Baterai
Battery Cable and Terminal
17 Kabel Massa
Ground Cable
18 Kabel Harness
Cable Harness
19
Emergency Jump Start
20 Kerja/Kondisi Motor Starter
Starter Motor Operation/Condition
21
Solenoid
22 Kabel & Terminal
Cables & Terminals
23 Radio Komunikasi
2-Way Radio Communication
24 Alarm Mundur
Reverse Alarm
25 Unjuk Kerja & Kontrol, Pendingin Udara
Air Conditioning Operation & Control
26 Kondisi Kompressor Pendingin Udara
A/C Compressor Condition
27 Kondisi Belt & Penyetelannya
A/C Compressor Belt Condition & Adjustment
28 Pengering Udara
Air Dryer
29 Periksa dan Service Kondensor
Condensor, Check and Service
Once printed this document becomes uncontrolled. Refer to ISO certified beyond 360
Management System for controlled copy Page 5 of 6
REGULAR SAFETY MECHANICAL INSPECTION
Marine Transportation (Prima 5)
No OK Not N/A
Task Description / Deskripsi Tugas Remarks / Comments
OK
30 Periksa & Service Evaporator
Evaporator, Check And Service
31 Tekanan Kerja Refrigerant
Refrigerant Charging Pressure
32 Pipa / Jalur Pendingin Udara
A/C Line/Piping
33 Kipas Blower
Fan Blower
34 Fungsi Kerja Kipas Kaca
Washer Wipers Function
35 Karet / Sirip Kipas Kaca
Wiper Blade
H. OPERATIONAL TEST (Kimper/Simper Required-Pelaksana Harus Memiliki Kimper/Simper)
1 Hidupkan Mesin-Periksa Suara yang Tidak Biasa
Engine Running (Check For Unusual Noise)
2 Perpindahan Gigi Transmissi
Transmission Shifting
3 Sistem Kemudi
Steering System
I. ADDITIONAL CHECKS
Inspected by Acknowledged by
Insert your Sign Insert your Sign
Mechanic Foreman / Supervisor
Once printed this document becomes uncontrolled. Refer to ISO certified beyond 360
Management System for controlled copy Page 6 of 6
