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CILT SCORE

Area Detail Area

REFINERY BLEACHING
AREA 01 REFINERY DEODORIZING
REFINERY & FRACTIONATION REFINERY COOLING TOWER
REFINERY 3
REFINERY 4
FRACTIONATION 1 CRYSTALLIZER
FRACTIONATION 2 CRYSTALLIZER
FRACTIONATION FILTER PRESS
FRACTIONATION COOLING TOWER
FRACTIONATION 3

TK-G.GRM-SABROE-SOFT WTR
MRF - PRODUCTION VOTATOR
MRF - PRODUCTION SCHRODER
MRF - PRODUCTION G & A
MRF - PRODUCTION CHEMTECH
MRF - PRODUCTION UGS 6 TON
AREA 02 MRF - PRODUCTION UGS 9 TON
MARSHO, FILLING, CBS MRF - FILLING VOTATOR
MRF - FILLING SCHRODER
MRF - FILLING G & A
MRF - FILLING CHEMTECH
MRF - FILLING UGS 6 TON
MRF - FILLING UGS 9 TON
FIL - TK INTERMEDIATE-100-PHE
FIL - FILLING COOLING TOWER
FIL - FILLING ROOM 1
FIL - FILLING ROOM 2

TANKI C
AREA 06 TANKI I
OPERATION TANKI P
TANKI B
UNIT PERAK

AREA 08
OFFICE & GENERAL EHFS - PMK

AREA 09 DIESEL COMPRESSOR - DRYER


UTILITY BOILER BATU BARA 1
BOILER BATU BARA 2
BOILER 3
BOILER 4

AREA 10 WTP
WTP,WWTP & WORKSHOP WORKSHOP

Total Average Score All Area


SCORE
Critical Non Critical

75.00 48.78
98.10 43.61
107.50 52.14
128.42 52.66
45.74
82.00 44.30
80.00 56.73
127.50 42.72
125.00 41.25
86.00 59.47

110.63 43.60
131.38 56.73
87.86 41.36
127.65 47.68
88.33 41.88
145.50 53.63
141.67 52.63
35.00
41.67
20.93
42.50
80.00 43.48
130.00 57.41
105.50 49.78
115.00 50.31
48.85
45.23

40.50
46.67
46.96
50.67
36.73

56.39

105.08 37.50
56.91
58.35

41.97
60.65

108.48 47.19
77.84
Cleaning, Inspection,

AREA 01
NO NO
REFINERY & FRACTIONATION
1 REFINERY BLEACHING 1
2 REFINERY DEODORIZING 2
3 REFINERY COOLING TOWER 3
4 REFINERY 3 4
5 REFINERY 4 5
6 FRACTIONATION 1 CRYSTALLIZER 6
7 FRACTIONATION 2 CRYSTALLIZER 7
8 FRACTIONATION FILTER PRESS 8
9 FRACTIONATION COOLING TOWER 9
10 FRACTIONATION 3

AREA 08
NO NO
OFFICE & GENERAL
1 EHFS - PMK 1
2 2
3
4
5
6
Cleaning, Inspection, Lubricant, Tightening

AREA 02 AREA 02
NO
MARSHO, FILLING , CBS MARSHO, FILLING , CBS
TK-G.GRM-SABROE-SOFT WTR 9 MRF - FILLING VOTATOR
MRF - PRODUCTION VOTATOR 10 MRF - FILLING SCHRODER
MRF - PRODUCTION SCHRODER 11 MRF - FILLING G & A
MRF - PRODUCTION G & A 12 MRF - FILLING CHEMTECH
MRF - PRODUCTION CHEMTECH 13 MRF - FILLING UGS 6 TON
MRF - PRODUCTION UGS 6 TON 14 MRF - FILLING UGS 9 TON
MRF - PRODUCTION UGS 9 TON 15 FIL - TK INTERMEDIATE-100-PHE
MARGARINE CHILER 16 FIL - FILLING COOLING TOWER
CHILLER & AHU MARGARINE 17 FIL - FILLING ROOM 1
18 FIL - FILLING ROOM 2

AREA 09 AREA 10
NO
UTILITY WTP,WWTP & WORKSHOP
DIESEL COMPRESSOR - DRYER 1 WORKSHOP
BOILER BATU BARA 1 2
BOILER BATU BARA 2
BOILER 3
BOILER 4
WTP
ng

AREA 06
NO
OPERATION
1 TANKI C
2 TANKI I
3 TANKI P
4 TANKI B Noted :
5 UNIT PERAK
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CILT SCORE
"We Aim to Be the Best "
UNIT :
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : Maintenance and Utility Dept.

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 7 8 11 12 13 14
No Date Categorize Equipment No Description Cleanliness Temp. Of Bearing Motor Current Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
UNIT :
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : Maintenance and Utility Dept.

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 7 8 11 12 13 14
No Date Categorize Equipment No Description Cleanliness Temp. Of Bearing Motor Current Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
UNIT :
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : Maintenance and Utility Dept.

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 7 8 11 12 13 14
No Date Categorize Equipment No Description Cleanliness Temp. Of Bearing Motor Current Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
UNIT :
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : Maintenance and Utility Dept.

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 7 8 11 12 13 14
No Date Categorize Equipment No Description Cleanliness Temp. Of Bearing Motor Current Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
Motor Current Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 03.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / BLEACHING

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 03.12.2018 500004054 Slop tank pump 1 (BARAT) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 03.12.2018 500007566 (Motor: 3 Kw,Crompton G) Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
2 03.12.2018 500008416 Bak Transfer Pump/Disliming Pompa 90 43 45 100 Class I (0-15 kW) 3.4 N 80 Leakage Marking Complete 15 5 5 5 15 1 10 10 66
4 03.12.2018 500008417 (Motor: 7,5 Kw,Siemens) Motor 7.5 90 60 51 398 6.9 18 100 Class I (0-15 kW) 4.4 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
5 03.12.2018 500008553 Slop tank pump 2 (TIMUR) Pompa 90 54 50 50 Class I (0-15 kW) 3.5 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
6 03.12.2018 500008554 (Motor: 3 Kw,Crompton G) Motor 3 90 46 43 398 5.1 6 5 Class I (0-15 kW) 3.2 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
7 03.12.2018 500004055 Transfer D-01 pump (Utara) Pompa 90 58 47 50 Class II (15-75 kW) 5.5 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
8 03.12.2018 500007567 (Motor: 22 Kw, GAE) Motor 22 90 43 39 398 15.1 22 50 Class II (15-75 kW) 6.5 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
9 03.12.2018 500004056 Transfer D-01 pump (Tengah) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
10 03.12.2018 500007568 (Motor: 11 Kw, Brook Hansen ) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 03.12.2018 500004057 Transfer D-01 pump (Selatan) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 03.12.2018 500007569 (Motor: 22 Kw, GAE) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
13 03.12.2018 500004059 Transfer Dryer pump (Utara) Pompa 90 55 59 50 Class II (15-75 kW) 6.2 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
14 03.12.2018 500007571 (Motor: 22 Kw, GAE) Motor 22 90 47 45 398 12.5 22 50 Class II (15-75 kW) 5.7 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
15 03.12.2018 500008418 Transfer Dryer pump (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
16 03.12.2018 500008419 (Motor: 30 Kw, GAE) Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
17 03.12.2018 500004058 Transfer Dryer pump (Selatan) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 03.12.2018 500007570 (Motor: 22 Kw, TECO) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
19 03.12.2018 500008422 Pompa NF 1 Bleaching I Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 03.12.2018 500008423 (Motor: 11 Kw, Crompton G) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 03.12.2018 500008424 Pompa NF 2 Bleaching I Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 03.12.2018 500008425 (Motor: 11 Kw, Crompton G) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 03.12.2018 500008426 Pompa NF 3 Bleaching I Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 03.12.2018 500008427 (Motor: 11 Kw, Crompton G) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 03.12.2018 500008428 Pompa NF 4 Bleaching I Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 03.12.2018 500008429 (Motor: 11 Kw, Crompton G) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 03.12.2018 500008430 Pompa NF 1 Bleaching II Pompa 90 46 43 80 Class I (0-15 kW) 6N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
28 03.12.2018 500008431 (Motor: 11 Kw, Crompton G) Motor 11 90 35 34 398 4.7 16 80 Class I (0-15 kW) 3.9 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
29 03.12.2018 500008432 Pompa NF 2 Bleaching II Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
30 03.12.2018 500008433 (Motor: 11 Kw, Crompton G) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 03.12.2018 500008434 Pompa NF 3 Bleaching II Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
32 03.12.2018 500008435 (Motor: 11 Kw, Crompton G) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
33 03.12.2018 500008436 Pompa NF 4 Bleaching II Pompa 90 53 56 80 Class I (0-15 kW) 6N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
34 03.12.2018 500008437 (Motor: 11 Kw, Crompton G) Motor 11 90 40 38 398 8.2 16 80 Class I (0-15 kW) 8.2 N 80 No Leakage Marking Complete Arah Axial 15 5 5 15 1 10 10 61
35 03.12.2018 500004062 Transfer PA I pump Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
36 03.12.2018 500007574 (Motor: 3 Kw,______________) Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
37 03.12.2018 500004063 Transfer PA II pump Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
38 03.12.2018 500007575 Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
39 03.12.2018 500004031 Dosing Pump PA I Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
40 03.12.2018 500007542 (Motor: 0,37 kw, MarelliMotori ) Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
41 03.12.2018 500004032 Dosing Pump PA II Pompa 90 36 35 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
42 03.12.2018 500007543 (Motor: 0,37 kw, MarelliMotori ) Motor 0.37 90 42 44 398 0.9 Class I (0-15 kW) 1N 80 No Leakage Marking Complete 15 5 5 0 20 10 10 65
43 03.12.2018 500004064 Agitator slop tank Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
44 03.12.2018 500007576 (Motor: 2,2 kw, _________) Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
45 03.12.2018 500007577 Vibrator Motor(Utara)(0,15kw) Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
46 03.12.2018 500007578 Vibrator Motor(Sltn) (0,15kw) Motor 0.15 90 49 48 398 1.4 6.3 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 0 10 10 45
47 03.12.2018 500007587 Dynamic Mixer Bleacher (Utara) Mixer 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
48 03.12.2018 500008438 (Motor: 37 kw, CMG) Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
49 03.12.2018 500008440 Dynamic Mixer Bleacher(Selatan) Mixer 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
50 03.12.2018 500008441 (Motor: 37 kw, CMG) Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
51 03.12.2018 500004075 Vacuum Blower ( Utara ) Blower 90 48 47 Class II (15-75 kW) 6.6 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
52 03.12.2018 500007579 (Motor: 15 kw, Electrim) Motor 15 90 46 40 398 10.3 16 Class II (15-75 kW) 4.5 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
53 03.12.2018 500004073 Vacuum Blower ( Selatan ) Blower 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
54 03.12.2018 500007581 (Motor: 15 kw, Electrim) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
55 03.12.2018 500004076 Vacuum Pump Bleacher (Barat) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
56 03.12.2018 500007582 (Motor: 5,5 Kw, Siemens) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
57 03.12.2018 500004077 Vacuum Pp Bleacher (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
58 03.12.2018 500007583 (Motor: 18,5 Kw, Siemens) Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
59 03.12.2018 500004078 Vacuum Pump Bleacher(Timur) Pompa 90 37 38 100 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
60 03.12.2018 500007584 (Motor: 5,5 Kw, Siemens) Motor 5.5 90 51 48 398 7.7 11 100 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
61 03.12.2018 500004079 Chain Hoist Niagara Chain 90 38 37 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 5 10 10 50
62 03.12.2018 500007585 (Motor: 0,8Kw,________) Motor 0.8 90 41 40 398 0.6 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 15 10 10 60
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 03.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / BLEACHING

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
63 03.12.2018 500010963 CHAIN HOIST BE /REFINERY01 Chain 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
64 01.02.2018 500010964 (Motor: 1,5Kw,_______) Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 03.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / DEODORIZING

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 03.12.2018 500004083 Circulation pump Deso-1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 03.12.2018 500007595 (Motor: 4 Kw,TECO ) Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
2 03.12.2018 500004084 Product pump Deso-1(Teikoku) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
4 03.12.2018 500007588 (Motor: 30 Kw,TEIKOKU ) Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
5 03.12.2018 500004086 Transfer PFAD pump Deso 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
6 03.12.2018 500007590 (Motor: 15 Kw, Brook Hansen) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
7 03.12.2018 500004087 Product pump PC-1 ( Teikoku) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
8 03.12.2018 500007591 (Motor: 11 Kw,TEIKOKU) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
9 03.12.2018 500004109 HPB PC-1 (HPB-2) Blower Blower 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 03.12.2018 500007611 (Motor: 6,5 kw,____________) Motor 6.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 03.12.2018 500004110 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 03.12.2018 500007612 (Motor: 2,2Kw, Electra) Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 03.12.2018 500004088 Deaderator pump Deso-1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
14 03.12.2018 500007592 (Motor:18,5 Kw-Brook Hansen) Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
15 03.12.2018 500004089 Transfer RBD pump Deso-2 Pompa 90 62 64 80 Class II (15-75 kW) 4.8 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
16 03.12.2018 500007593 (Motor: 22 Kw, ABB) Motor 22 90 54 41 398 16.8 21 80 Class II (15-75 kW) 5.5 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
17 03.12.2018 500004090 Circulation pump Deso-2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 03.12.2018 500007594 (Motor: 3 Kw, AEG) Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 03.12.2018 500004091 Product pump Deso-2(Teikoku) Pompa 90 150 149 Class II (15-75 kW) 80 No Leakage Marking Complete 30 0 0 10 20 20 80
20 03.12.2018 500007596 (Motor: 30 Kw,TEIKOKU ) Motor 30 90 127 126 398 20.8 31 Class II (15-75 kW) 80 No Leakage Marking Complete Indikator Hijau (0,3) 30 0 0 30 20 20 100
21 03.12.2018 500004093 Product pump PC-2 ( Teikoku ) Pompa 90 183 203 Class I (0-15 kW) 80 No Leakage Marking Complete 30 0 0 10 20 20 80
22 03.12.2018 500007598 (Motor: 11 Kw,TEIKOKU) Motor 11 90 163 193 398 19.8 24 Class I (0-15 kW) 80 No Leakage Marking Complete Indikator Hijau (0,4) 30 0 0 10 20 20 80
23 03.12.2018 500004094 Transfer PFAD pump Deso 2 Pompa 90 56 55 80 Class II (15-75 kW) 4.1 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
24 03.12.2018 500007599 (Motor: 15 Kw, ABB) Motor 15 90 53 46 398 11.2 15 80 Class I (0-15 kW) 4.3 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
25 03.12.2018 500004095 Deaderator pump Deso-2 Pompa 90 52 48 80 Class I (0-15 kW) 8.7 N 80 No Leakage Marking Complete Arah Vertical 30 10 10 2 30 10 20 20 132
26 03.12.2018 500007600 (Motor: 18,5 Kw, ABB) Motor 18.5 90 49 45 398 14.2 18 80 Class I (0-15 kW) 4.5 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
27 03.12.2018 500004113 Transfer RBD pump Deso-1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
28 03.12.2018 500007616 (Motor: 11 Kw, Brook Hansen) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
29 03.12.2018 500004105 Blower HPB PC-2 Blower 90 43 41 Class I (0-15 kW) 6.7 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
30 03.12.2018 500007608 Motor 90 44 42 398 4.9 8 Class I (0-15 kW) 9.2 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 1 10 10 46
31 03.12.2018 500004106 Water pump HPB PC-2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
32 03.12.2018 500007609 (Motor: 1,1Kw, Kuenle ) Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
33 03.12.2018 500004117 Vacuum pump ( Barat ) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
34 03.12.2018 500007619 ( Motor: 15 Kw, Fimet ) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
35 03.12.2018 500004118 Vacuum pump ( Tengah ) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
36 03.12.2018 500007620 ( Motor: 15 Kw, Fimet ) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
37 03.12.2018 500008579 Vacuum pump ( Timur ) Pompa 90 37 38 100 Class II (15-75 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 20 5 10 10 70
38 03.12.2018 500008580 ( Motor: 15 Kw, ___________) Motor 15 90 62 52 398 8.3 12 100 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
39 03.12.2018 500004112 Make up vacuum water Pump Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
40 03.12.2018 500007613 ( Motor: 11 Kw, MEZ ) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
41 03.12.2018 500004082 Aquades pump Pompa 90 31 30 100 Class I (0-15 kW) 4N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
42 03.12.2018 500010210 ( Motor:___ Kw, DAB ) Motor 90 34 33 100 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
43 03.12.2018 500020364 Pompa Feed CPO Ref 1 (Selatan) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
44 03.12.2018 500020365 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
45 03.12.2018 500020366 Pompa Feed CPO Ref Spare (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
46 03.12.2018 500020367 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
47 03.12.2018 500020368 Pompa Feed CPO Ref 2 (Utara) Pompa 90 55 54 100 Class II (15-75 kW) 4.5 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
48 01.02.2018 500020369 Motor 90 61 55 398 14.5 21 100 Class II (15-75 kW) 4.5 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 03.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / DEODORIZING

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categor
Critical
UNIT : SURABAYA Non Crit
DATE : 07.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY 4

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 07.12.2018 500016464 26P70A FEED PUMP FOR CPO/CPKO A POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 07.12.2018 500016465 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 07.12.2018 500016466 26P70B FEED PUMP FOR CPO/CPKO B POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 07.12.2018 500016467 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
5 07.12.2018 500016468 26P00 DRYER PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 07.12.2018 500016469 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
7 07.12.2018 500016470 26P01 FILTER FEED PUMP 1 POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 07.12.2018 500016471 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
9 07.12.2018 500016472 26P02 FILTER FEED PUMP 2 POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
10 07.12.2018 500016473 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
11 07.12.2018 500016474 26P12 FILTERED OIL PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 07.12.2018 500016475 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
13 07.12.2018 500016727 26P23 DOSING PUMP (PA) POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 07.12.2018 500016728 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
15 07.12.2018 500016729 26P43 SLOP OIL PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 07.12.2018 500016730 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
17 07.12.2018 500016731 27P01A BLEACHED OIL PUMP A POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 07.12.2018 500016732 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
19 07.12.2018 500016733 27P01B BLEACHED OIL PUMP B POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 07.12.2018 500016734 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
21 07.12.2018 500016735 27P10A HOT OIL DISCHARGE PUMP A POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 07.12.2018 500016736 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
23 07.12.2018 500016737 27P10B HOT OIL DISCHARGE PUMP B POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 07.12.2018 500016738 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
25 07.12.2018 500016739 27P05 FATTY ACID PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 07.12.2018 500016740 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
27 07.12.2018 500016741 27P24 ANTI AXIDANT(CA) PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 07.12.2018 500016742 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
29 07.12.2018 500016743 AGITATOR ANTI AXIDANT(CA) MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
30 07.12.2018 500016744 26Q01 VACUUM BLEACHING PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
31 07.12.2018 500016745 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
32 07.12.2018 500016746 27Q01 VACUUM DEODORIZING PUMP POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
33 07.12.2018 500016747 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
34 07.12.2018 500016748 58WP01 HOT WELL PUMP POMPA 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
35 07.12.2018 500016749 MOTOR 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
36 07.12.2018 500016750 58WP02A CLEAN WATER PUMP A POMPA 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
37 07.12.2018 500016751 MOTOR 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
38 07.12.2018 500016752 58WP02B CLEAN WATER PUMP B POMPA 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
39 07.12.2018 500016753 MOTOR 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
40 07.12.2018 500016754 58WP03 DIRTY WATER PUMP POMPA 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
41 07.12.2018 500016755 MOTOR 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
42 07.12.2018 500016756 26T61A BLOWER BLEACHING EARTH BLOWER 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
43 07.12.2018 500016757 MOTOR 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
44 07.12.2018 500016758 26T61B BLOWER ACTIVATED CARBON BLOWER 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
45 07.12.2018 500016759 MOTOR 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
46 07.12.2018 500016760 DYNAMIX MIXER POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
47 07.12.2018 500016761 MOTOR 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
Categor
Critical
UNIT : SURABAYA Non Crit
DATE : 07.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY 4

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 06.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / COOLING TOWER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 06.12.2018 500004013 Transfer water CT-1 pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 06.12.2018 500007526 (Motor: 30KW,_____________) Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
2 06.12.2018 500004014 Transfer water CT-2 pump Pompa 90 53 46 100 Class II (15-75 kW) 0.9 N 80 No Leakage Marking Complete 15 5 5 20 5 10 10 70
4 06.12.2018 500007527 (Motor: 30KW,_____________) Motor 30 90 52 43 398 26.9 16 100 Class II (15-75 kW) 6.4 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
5 06.12.2018 500004016 Transfer water CT-4 pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 06.12.2018 500007529 (Motor: 30KW,_____________) Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
7 06.12.2018 500004017 Transfer water CT-4A pump Pompa 90 48 52 100 Class II (15-75 kW) 3.2 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
8 06.12.2018 500008549 (Motor: 30KW,_____________) Motor 30 90 53 45 398 31.5 60 100 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
9 06.12.2018 500004018 Transfer water CT-5 pump Pompa 90 51 50 80 Class III (>75 kW_Rig) 4.2 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
10 06.12.2018 500007530 (Motor: 75KW,_____________) Motor 75 90 65 52 398 68.5 70 80 Class III (>75 kW_Rig) 5.3 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
11 06.12.2018 500004022 Transfer water CT-6 pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 06.12.2018 500007531 (Motor: 55KW,TECO) Motor 55 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
13 06.12.2018 500004019 Transfer water CT-7 pump Pompa 90 46 45 80 Class II (15-75 kW) 3.8 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
14 06.12.2018 500007532 (Motor: 55KW,_____________) Motor 55 90 52 49 399 60.1 70 80 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
15 06.12.2018 500004021 Transfer water CT-9 pump Pompa 90 59 57 60 Class II (15-75 kW) 7.1 N 80 No Leakage Marking Complete Arah Axial 15 5 5 5 15 5 10 10 70
16 06.12.2018 500007534 (Motor: 55KW,TECO) Motor 55 90 81 67 398 41.5 54 60 Class II (15-75 kW) 24.3 N 80 No Leakage Marking Complete Arah Horizontal 15 3 5 15 1 10 10 59
17 06.12.2018 500004020 Transfer water CT-8 pump Pompa 90 64 59 80 Class II (15-75 kW) 5.1 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
18 06.12.2018 500007533 (Motor: 55KW,TECO) Motor 55 90 81 74 399 59.1 55 80 Class II (15-75 kW) 7.3 N 80 No Leakage Marking Complete Arah Vertical 15 3 5 15 5 10 10 63
19 06.12.2018 500004033 Transfer water CT-10 pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
20 06.12.2018 500007544 (Motor: 45KW,SIEMENS) Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
21 06.12.2018 500014285 Transfer water CT-11 pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
22 06.12.2018 500014286 (Motor: 45KW,SIEMENS) Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
23 06.12.2018 500004027 Fan Cooling Tower 2 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
24 06.12.2018 500007538 (Motor: 55KW,_____________) Motor 55 90 58 52 398 38.7 45 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
25 06.12.2018 500004028 Fan Cooling Tower 3 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
26 06.12.2018 500007539 (Motor: 55KW,_____________) Motor 55 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 07.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / REFINERY 3

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 07.12.2018 500015856 G 201 A OIL FEED PUMP-A-Utara Samping TK C Pump 90 66 67 100 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
2 07.12.2018 500015857 Motor 22 90 48 47 398 7.9 23 100 Class I (0-15 kW) 4.9 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
2 07.12.2018 500015858 G 201 B OIL FEED PUMP-B-Seltn Samping TK C Pump 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 07.12.2018 500015859 Motor 22 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 07.12.2018 500015860 G 202 DRYER PUMP Pump 80 74 71 80 Class II (15-75 kW) 4.1 N 80 No Leakage Marking Complete 20 10 10 20 30 10 20 20 140
6 07.12.2018 500015861 Motor 15 80 54 49 398 10.7 17 80 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 20 10 10 30 10 20 20 120
7 07.12.2018 500015862 G 204 A NIAGARA PUMP A Pump 80 Class II (15-75 kW) 80 No Leakage Marking Complete 10 15 5 10 10 50
8 07.12.2018 500015863 Motor 15 80 Class II (15-75 kW) 80 No Leakage Marking Complete 10 10 10 30
9 07.12.2018 500015864 G 204 B NIAGARA PUMP B Pump 80 59 58 60 Class II (15-75 kW) 3.2 N 80 No Leakage Marking Complete 10 5 5 10 15 5 10 10 70
10 07.12.2018 500015865 Motor 15 80 50 47 398 11.5 16 60 Class II (15-75 kW) 6N 80 No Leakage Marking Complete 10 5 5 15 5 10 10 60
11 07.12.2018 500015866 G 204 C NIAGARA PUMP C Pump 80 51 52 70 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 10 5 5 10 15 5 10 10 70
12 07.12.2018 500015867 Motor 15 80 42 45 398 11.7 16 70 Class II (15-75 kW) 3.1 N 80 No Leakage Marking Complete 10 5 5 15 10 10 10 65
13 07.12.2018 500015868 G 205 BLEACHED OIL PUMP (F203) Pump 95 60 51 80 Class II (15-75 kW) 3N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
14 07.12.2018 500015869 Motor 15 95 46 43 398 12.6 40 80 Class II (15-75 kW) 1.2 N 80 No Leakage Marking Complete 30 10 10 30 40 20 20 160
15 07.12.2018 500015870 G 206A PHOSPHORIC ACID DOSING PUMP A Pump 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 07.12.2018 500015871 Motor 0.7 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 07.12.2018 500015872 G 206B PHOSPHORIC ACID DOSING PUMP B Pump 95 38 36 100 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
18 07.12.2018 500015873 Motor 0.7 95 40 39 398 0.4 5 100 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
19 07.12.2018 500015874 CHAIN HOIST FILTER LEAF(di Area C.Tower) Blower 90 38 35 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
20 07.12.2018 500015875 Motor 1.5 90 37 40 398 2.5 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 15 10 10 60
21 07.12.2018 500015876 G209 BLOWER B.E Blower 95 46 43 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
22 07.12.2018 500015877 Motor 15 95 47 42 398 7.5 30 Class II (15-75 kW) 5.7 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
23 07.12.2018 500015878 G 207 DYNAMIC MIXER Pump 95 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
24 07.12.2018 500015879 Motor 15 95 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
25 07.12.2018 500015880 G 210 CIP PUMP Pump 90 66 61 60 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
26 07.12.2018 500015881 Motor 90 44 42 398 17.9 30 60 Class II (15-75 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
27 07.12.2018 500015882 G 213 A B.E TANK VIBRATOR (BARAT) Vibrator 90 37 35 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 5 10 10 50
28 07.12.2018 500015883 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 07.12.2018 500015884 G 213 B B.E TANK VIBRATOR (TIMUR) Vibrator 90 36 37 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 5 10 10 50
30 07.12.2018 500015885 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 07.12.2018 500015886 G 214 SLOP OIL PUMP Pump 90 62 60 100 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
32 07.12.2018 500015887 Motor 1.5 90 47 44 398 1.9 4 100 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
33 07.12.2018 500015888 G 219 VACUUM PUMP BLEACHING Pump 90 39 40 100 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 30 10 10 20 10 20 20 120
34 07.12.2018 500015889 Motor
Chain 11 90 61 57 398 4.5 5.5 100 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
35 07.12.2018 500015890 G 230 CHAIN HOIST NIAGARA FILTER Hoist 90 38 37 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 5 10 10 50
36 07.12.2018 500015891 Motor
Chain 1.5 90 41 40 398 4.4 5.5 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 0 10 10 45
37 07.12.2018 500015892 G 231 CHAIN HOIST BLEACHING EARTH(BE) Hoist 85 35 34 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 5 10 10 50
38 07.12.2018 500015893 Motor 1.5 85 38 37 398 3.5 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 0 10 10 45
39 07.12.2018 500015894 G 301 BLEACHED OIL PUMP (F204) Pump 80 67 56 50 Class II (15-75 kW) 1.8 N 80 Leakage Marking Complete 20 10 10 20 30 2 20 20 132
40 07.12.2018 500015895 Motor 22 80 52 44 398 21.3 30 50 Class II (15-75 kW) 4.2 N 80 No Leakage Marking Complete 20 10 10 30 20 20 20 130
41 07.12.2018 500015896 G 303A FATTY ACID CIRCULATION PUMP (F301A) Pump 90 65 61 60 Class I (0-15 kW) 5N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
42 07.12.2018 500015897 Motor 30 90 54 51 398 33.3 60 60 Class I (0-15 kW) 4.1 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
43 07.12.2018 500015898 G 303B FATTY ACID CIRCULATION PUMP (F301B) Pump 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
44 07.12.2018 500015899 Motor 30 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
45 07.12.2018 500015900 G 304A DEODORIZER PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
46 07.12.2018 500015901 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
47 07.12.2018 500015902 G 304B DEODORIZER PUMP B Pump 90 166 189 100 Class II (15-75 kW) N 80 No Leakage Marking Complete 15 0 0 5 10 10 40
48 07.12.2018 500015903 Motor 15 90 163 145 398 19.1 40 100 Class II (15-75 kW) N 80 No Leakage Marking Complete Indikator Hijau (0,1) 15 0 0 15 10 10 50
49 07.12.2018 500015904 G 305 A FALLING FILM PUMP A Pump 90 114 119 100 Class II (15-75 kW) N 80 No Leakage Marking Complete 15 0 0 5 10 10 40
50 07.12.2018 500015905 Motor 15 90 125 121 398 19.6 40 100 Class II (15-75 kW) N 80 No Leakage Marking Complete Indikator Hiaju (0,3) 15 0 0 15 10 10 50
51 07.12.2018 500015906 G 305 B FALLING FILM PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
52 07.12.2018 500015907 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
53 07.12.2018 500015908 G 306 RBDPO TRANSFER PUMP Pump 90 77 75 50 Class II (15-75 kW) 3.1 N 80 No Leakage Marking Complete 30 10 10 20 10 20 20 120
54 07.12.2018 500015909 Motor 18.5 90 48 45 398 21.6 35 50 Class II (15-75 kW) 2.9 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
55 07.12.2018 500015910 G 311 VACUUM PUMP DEODORIZER Pump 90 43 40 100 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 20 10 20 20 120
56 07.12.2018 500015911 Motor 11 90 59 49 398 4.3 6 100 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
57 07.12.2018 500015912 G 313A CITRIC ACID DOSING PUMP A Pump 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
58 07.12.2018 500015913 Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
59 07.12.2018 500016764 G 313B CITRIC ACID DOSING PUMP B Pump 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
60 07.12.2018 500016765 Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
61 07.12.2018 500015914 F390 FAN CLEAN COOLING TOWER Fan 90 55 56 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
62 07.12.2018 500015915 Motor 18.5 90 54 53 398 16.9 30 Class II (15-75 kW) 3.3 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
63 07.12.2018 500015916 F391A FAN DIRTY COOLING TOWER TIMUR Fan 90 44 48 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 07.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : REFINERY PLANT / REFINERY 3

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
64 07.12.2018 500015917 Motor 18.5 90 58 57 389 21.5 37 Class II (15-75 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
65 07.12.2018 500015918 F391B FAN DIRTY COOLING TOWER BARAT Fan 90 59 58 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
66 07.12.2018 500015919 Motor 18.5 90 59 46 389 23.3 37 Class II (15-75 kW) 4.9 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
67 07.12.2018 500015920 G 390 A CLEAN COOLING TOWER PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
68 07.12.2018 500015921 Motor 55 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
69 07.12.2018 500015922 G 390 B CLEAN COOLING TOWER PUMP B Pump 90 48 40 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
70 07.12.2018 500015923 Motor 55 90 46 44 398 65 125 100 Class II (15-75 kW) 1N 80 No Leakage Marking Complete 15 5 5 15 20 10 10 80
71 07.12.2018 500015924 G 391 A DIRTY COOLING TOWER PUMP A Pump 90 53 51 100 Class II (15-75 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
72 07.12.2018 500015925 Motor 55 90 52 45 398 67 125 100 Class II (15-75 kW) 3.9 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
73 07.12.2018 500015926 G 391 B DIRTY COOLING TOWER PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
74 07.12.2018 500015927 Motor 55 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
75 07.12.2018 500015928 G 391 C DIRTY COOLING TOWER PUMP C Pump 90 58 53 100 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
76 07.12.2018 500015929 Motor 55 90 55 52 398 55.1 125 100 Class II (15-75 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 15 20 10 10 80
77 07.12.2018 500015930 G 392 A HOTWELL CIRCULATION PUMP A Pump 85 45 43 100 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
78 07.12.2018 500015931 Motor 15 85 64 54 395 75.1 80 100 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
79 07.12.2018 500015932 G 392 B HOTWELL CIRCULATION PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
80 07.12.2018 500015933 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
81 07.12.2018 500016715 ROTARY VALVE BAG BE Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
82 07.12.2018 500016716 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
83 07.12.2018 500016717 ROTARY VALVE SILO BE A Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
84 07.12.2018 500016718 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
85 07.12.2018 500016719 ROTARY VALVE SILO BE B Gearbox 90 38 39 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
86 07.12.2018 500016720 Motor 11 90 46 47 398 1.6 10 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
UNIT : SURABAYA
DATE : 04.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 1 / CRYSTALIZER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
67 04.12.2018 500008240 Agitator CR-21 / CR 101 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
68 04.12.2018 500008241 (Motor: 5,5 Kw, NORD) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
69 04.12.2018 500008243 Agitator CR- 22 / CR 102 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
70 04.12.2018 500008242 (Motor: 5,5 Kw, NORD) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
71 04.12.2018 500008244 Agitator CR-23 / CR 103 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
72 04.12.2018 500008245 (Motor: 5,5 Kw, NORD) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
73 04.12.2018 500008246 Agitator CR-24 / CR 104 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
74 04.12.2018 500008247 (Motor: 5,5 Kw, NORD) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
75 04.12.2018 500008248 Agitator CR-25 / CR 105 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
76 04.12.2018 500008249 (Motor: 5,5 Kw, NORD) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
77 04.12.2018 500008250 Agitator CR-26 / CR 106 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
78 04.12.2018 500008251 (Motor: 5,5 Kw, NORD) Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
79 04.12.2018 500004208 Agitator CR-19 / 107 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
80 04.12.2018 500007672 (Motor:11 kw,NORD) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
81 04.12.2018 500004212 Agitator CR-20 / 108 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
82 04.12.2018 500007673 (Motor:11 kw,NORD) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
83 04.12.2018 500011090 Agitator CRT - 27 / 109 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
84 04.12.2018 500011091 (Motor: 7,5 Kw, NORD) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
85 04.12.2018 500011094 Agitator CRT - 28/110 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
86 04.12.2018 500011095 (Motor: 7,5 Kw, NORD) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
87 04.12.2018 500011098 Agitator CRT - 29/ 111 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
88 04.12.2018 500011099 (Motor: 7,5 Kw, NORD) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
89 04.12.2018 500011102 Agitator CRT - 30/112 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
90 04.12.2018 500011103 (Motor: 7,5 Kw, NORD) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
91 05.02.2018 500011106 Agitator CRT -31 / 113 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
92 05.02.2018 500011107 (Motor: 7,5 Kw, NORD) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
93 05.02.2018 500011110 Agitator CRT - 32 / 114 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
94 05.02.2018 500011111 (Motor: 7,5 Kw, NORD) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
95 04.12.2018 500008264 Transfer Pump CR21-CR26 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
96 04.12.2018 500008265 (Motor: 18,5 Kw, SIEMENS) Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
97 04.12.2018 500008252 Circulation Water CR 21/ 101 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
98 04.12.2018 500008253 (Motor: 11 Kw, SIEMENS) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
99 04.12.2018 500008254 Circulation Water CR 22/ 102 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
100 04.12.2018 500008255 (Motor: 11 Kw, SIEMENS) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
101 04.12.2018 500008256 Circulation Water CR 23/ 103 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500008257 (Motor: 11 Kw, SIEMENS) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 04.12.2018 500008258 Circulation Water CR 24/ 104 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500008259 (Motor: 11 Kw, SIEMENS) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
20 04.12.2018 500008260 Circulation Water CR 25/ 105 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500008261 (Motor: 11 Kw, SIEMENS) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 04.12.2018 500008262 Circulation Water CR 26 /106 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500008263 (Motor: 11 Kw, SIEMENS) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
22 04.12.2018 500004209 Circulation Water CR 19 /107 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500007674 (Motor: Kw, ___________) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 04.12.2018 500004211 Circulation Water CR 20 /108 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500007676 (Motor: Kw, ____________) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
24 04.12.2018 500004207 Transfer RBD pump 4 ( ke Filter Press) dari cr 21-26 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
04.12.2018 500007671 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
25 04.12.2018 500011116 Transfer RBD pump ( ke Filter Press) -RBD-4 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
04.12.2018 500011117 Gear box 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
04.12.2018 500011118 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
26 04.12.2018 500011092 Circulation water CR-27/109 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500011093 (Motor: 15 Kw, ELEKTRIM) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
27 04.12.2018 500011100 Circulation water CR-29/111 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500011101 (Motor: 15 Kw, ELEKTRIM) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
28 04.12.2018 500011108 Circulation water CR-31/113 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500011109 (Motor: 15 Kw, ELEKTRIM) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
29 04.12.2018 500011114 Transfer Pump CR 109-114 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500011115 (Motor: 22 Kw, ELEKTRIM) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
30 04.12.2018 500011112 Circulation water CR-32/114 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
04.12.2018 500011113 (Motor: 15 Kw, ELEKTRIM) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
31 04.12.2018 500011104 Circulation water CR-30/112 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500011105 (Motor: 15 Kw, ELEKTRIM) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
UNIT : SURABAYA
DATE : 04.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 1 / CRYSTALIZER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
32 04.12.2018 500011096 Circulation water CR-28/110 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
04.12.2018 500011097 (Motor: 15 Kw, ELEKTRIM) Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
33 04.12.2018 500004115 Booster Pump 1 (lokasi di Refinery) / Selatan Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
04.12.2018 500007618 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
34 04.12.2018 500004114 Booster Pump 2 (lokasi di Refinery) / Utara Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
04.12.2018 500007617 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 04.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 2 / CRYSTALIZER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 04.12.2018 500014052 Agitator CR 201 GB. Agitator 90 34 33 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
2 04.12.2018 500014053 Mtr. Agitator 5.5 90 39 38 398 2.3 1 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
3 04.12.2018 500014054 Agitator CR 202 GB. Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 04.12.2018 500014055 Mtr. Agitator 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
5 04.12.2018 500014056 Agitator CR 203 GB. Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 04.12.2018 500014057 Mtr. Agitator 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
7 04.12.2018 500014058 Agitator CR 204 GB. Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 04.12.2018 500014059 Mtr. Agitator 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
9 04.12.2018 500014060 Agitator CR 205 GB. Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
10 04.12.2018 500014061 Mtr. Agitator 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
11 04.12.2018 500014062 Agitator CR 206 GB. Agitator 90 37 38 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
12 04.12.2018 500014063 Mtr. Agitator 5.5 90 46 45 398 3.1 1 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
13 04.12.2018 500014064 Agitator CR 207 GB. Agitator 90 38 37 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
14 04.12.2018 500014065 Mtr. Agitator 5.5 90 41 40 398 3.2 1 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
15 04.12.2018 500014066 Agitator CR 208 GB. Agitator 90 35 34 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
16 04.12.2018 500014067 Mtr. Agitator 5.5 90 44 43 398 2.5 1 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
17 04.12.2018 500014128 Pump Rework (P 495) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 04.12.2018 500014129 ( CR 201/208 ) MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Transfer Cooling water A- Barat
19 04.12.2018 500014102 Pompa 90 43 43 100 Class II (15-75 kW) 3.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
(P490A)
20 04.12.2018 500014103 (ke CR ) MotorPp. 22 90 37 36 398 16.9 22 100 Class II (15-75 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
Transfer Cooling water B-Timur
21 04.12.2018 500014104 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
(P490B)
22 04.12.2018 500014105 (ke CR ) MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Pompa Evaporator Chiler-4
23 04.12.2018 500014090 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
408A - Utara
24 04.12.2018 500014091 MotorPp. 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Pompa Evaporator Chiler-6
25 04.12.2018 500014094 Pompa 90 43 42 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
408C - Tengah
26 04.12.2018 500014095 MotorPp. 15 90 54 53 398 17.2 22 100 Class II (15-75 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
Pompa Evaporator Chiler-5
27 04.12.2018 500014092 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
408B - Selatan
28 04.12.2018 500014093 MotorPp. 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Transfer Chiled water A - Barat
29 04.12.2018 500014106 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
(P407 A)
30 04.12.2018 500014107 (ke CR ) MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Transfer Chiled water B - Timur
31 04.12.2018 500014108 Pompa 90 52 44 100 Class II (15-75 kW) 3.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
(P407 B)
32 04.12.2018 500014109 (ke CR ) MotorPp. 22 90 43 38 398 16.8 22 100 Class II (15-75 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
33 04.12.2018 500014076 Pompa Circulation Water 202 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
34 04.12.2018 500014077 MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
35 04.12.2018 500014080 Pompa Circulation Water 204 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
36 04.12.2018 500014081 MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
37 04.12.2018 500014084 Pompa Circulation Water 206 Pompa 90 49 47 100 Class II (15-75 kW) 4N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
38 04.12.2018 500014085 MotorPp. 22 90 51 48 398 17.5 22 100 Class II (15-75 kW) 6N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
39 04.12.2018 500014088 Pompa Circulation Water 208 Pompa 90 51 48 100 Class II (15-75 kW) 3.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
40 04.12.2018 500014089 MotorPp. 22 90 43 41 398 17.3 22 100 Class II (15-75 kW) 4.8 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
Transfer RBD Ke Filter Pres-1
41 04.12.2018 500014098 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
402-A (Barat)
42 04.12.2018 500014099 MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
Transfer RBD Ke Filter Pres-2
43 04.12.2018 500014100 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
402-B (Timur)
44 04.12.2018 500014101 MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
45 04.12.2018 500014074 Pompa Circulation Water 201 Pompa 90 35 34 100 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
46 04.12.2018 500014075 MotorPp. 22 90 32 33 398 16.8 22 100 Class II (15-75 kW) 3N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
47 04.12.2018 500014078 Pompa Circulation Water 203 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
48 04.12.2018 500014079 MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
49 04.12.2018 500014082 Pompa Circulation Water 205 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
50 04.12.2018 500014083 MotorPp. 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
51 04.12.2018 500014086 Pompa Circulation Water 207 Pompa 90 52 49 100 Class II (15-75 kW) 6.6 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
52 04.12.2018 500014087 MotorPp. 22 90 49 45 398 17.1 22 100 Class II (15-75 kW) 3.5 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
Hot water pump A -Utara
53 04.12.2018 500014115 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
(P405 A)
54 04.12.2018 500014116 MotorPp. 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Hot water pump B - Selatan
55 04.12.2018 500014117 Pompa 90 71 66 100 Class II (15-75 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
(P405 B)
56 04.12.2018 500014118 MotorPp. 37 90 57 56 398 100 Class II (15-75 kW) 4.6 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
TOTAL ###
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 04.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 2 / CRYSTALIZER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 05.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION / FILTER PRESS

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
Squeezing pump ( FP-1/ P410A )
1 05.12.2018 500014136 Pompa 90 32 31 100 Class II (15-75 kW) 3.1 N 80 No Leakage Marking Complete 30 10 10 20 10 20 20 120
2 05.12.2018 500014137 Motor 30 90 35 34 398 19.6 1 100 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
3 05.12.2018 500014153 Stearine pump ( FP-1/ P404A ) Pompa 90 42 41 100 Class I (0-15 kW) 6N 80 No Leakage Marking Complete 30 10 10 10 30 10 20 20 140
4 05.12.2018 500014154 Motor 11 90 37 36 398 10.7 12 100 Class I (0-15 kW) 6.4 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
Squeezing pump ( FP-2/ P410B)
5 05.12.2018 500014138 Pompa 90 32 33 100 Class II (15-75 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 40 10 20 20 140
6 05.12.2018 500014139 Motor 30 90 33 34 399 19.7 1 100 Class II (15-75 kW) 3N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
Stearine pump ( FP-2/ P404B )
7 05.12.2018 500014155 Pompa 90 50 48 100 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
8 05.12.2018 500014156 Motor 11 90 37 36 398 11.2 12 100 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
9 05.12.2018 500004121 Stearine pump ( bak FP-3 ) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
10 05.12.2018 500007679 (Motor:11Kw, EMM) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 05.12.2018 500004122 Stearine pump ( bak FP-4 ) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 05.12.2018 500007680 (Motor:11Kw, EMM) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 05.12.2018 500004120 Stearine pump ( bak FP-5 ) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 05.12.2018 500007678 (Motor:11Kw, MEZ) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 05.12.2018 500014132 Pompa Tanki Olein FP1/P403A Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 05.12.2018 500014133 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 05.12.2018 500014134 Pompa Tanki Olein FP2/P403B Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 05.12.2018 500014135 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 05.12.2018 500004125 Product pump P-512 A (FP.3.4.5) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 05.12.2018 500007683 (Motor:11Kw, EMM) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 05.12.2018 500004126 Product pump P-512 B (FP.4) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 05.12.2018 500007684 (Motor:11Kw, EMM) Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 05.12.2018 500004127 Washing pump P-514 A Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 05.12.2018 500007685 (Motor: 22Kw, EMM) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
25 05.12.2018 500004128 Slop tank P-511 B Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 05.12.2018 500007686 (Motor: ........Kw, ASEA) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 05.12.2018 500004129 Slop tank P-511 A Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 05.12.2018 500007687 (Motor:7,5 Kw, EMM) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 05.12.2018 500014130 Pompa Sirkulasi (T406) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
30 05.12.2018 500014131 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
31 05.12.2018 500004130 Washing pump FP1/FP2 (T406) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
32 05.12.2018 500007688 (Motor: 22Kw, EMM) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
Filter Press machine 1
33 05.12.2018 500014157 Mesin 90 36 35 Class II (15-75 kW) 3.6 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
34 05.12.2018 500014158 Motor 15 90 44 43 398 15.2 32 Class II (15-75 kW) 2.5 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
Filter Press machine 2
35 05.12.2018 500014159 Mesin 90 38 37 Class II (15-75 kW) 3.5 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
36 05.12.2018 500014160 Motor 15 90 53 51 398 15.5 32 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
Filter Press machine 3
37 05.12.2018 500004135 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
38 05.12.2018 500004140 Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
Filter Press machine 4
39 05.12.2018 500004136 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
40 05.12.2018 500004141 Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
Hoist Chain (Utara) (FP.5)
41 05.12.2018 500011062 Hoist 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
42 05.12.2018 500011063 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Hoist Chain (Tengah) (FP.4)
43 05.12.2018 500004143 Hoist 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
44 05.12.2018 500008194 Motor 4.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Hoist Chain (Selatan) (FP.3)
45 05.12.2018 500004142 Hoist 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
46 05.12.2018 500008193 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Hoist Chain Baru
47 05.12.2018 500014161 Hoist 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
(Untuk FP.1&FP.2)
48 05.12.2018 500014162 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
49 05.12.2018 500010306 Transfer Bofer tank (Utara) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
50 05.12.2018 500010307 Motor: Elektrim ; 22 KW Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
51 05.12.2018 500010308 Transfer Bofer tank (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
52 05.12.2018 500010309 Motor:MEZ FRENSTAT; 30 KW Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
53 05.12.2018 500010310 Transfer Bofer tank (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
54 05.12.2018 500010311 Motor:MEZ FRENSTAT; 30 KW Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
55 05.12.2018 500010501 Transfer Bofer tank (Selatan) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
56 05.12.2018 500010502 Motor:_____________; 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
57 05.12.2018 500010221 Pompa Water Chileer (Utara) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
58 05.12.2018 500010222 Motor:MEZ FRENSTAT; 30 KW Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
59 05.12.2018 500010225 Pompa water chiller 3(Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
60 05.12.2018 500010226 Motor: SIEMENS; 30 KW Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
61 05.12.2018 500008504 Pompa water chiller 4 (Selatan) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
62 05.12.2018 500008505 Motor: SIEMENS; 30 KW Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 05.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION / FILTER PRESS

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 17.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : POMPA CHILLER & AHU MARGARINE

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 17.12.2018 500020247 Chiller Condensor 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 17.12.2018 500020248 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
3 17.12.2018 500020249 Chiller Condensor 2 Pompa 90 50 49 50 Class II (15-75 kW) 3.5 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
4 17.12.2018 500020250 Motor 45 90 62 57 398 57.1 40 50 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
5 17.12.2018 500020251 Chiller Evaporator 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 17.12.2018 500020252 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
7 17.12.2018 500020253 Chiller Evaporator 2 Pompa 90 43 45 50 Class II (15-75 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
8 17.12.2018 500020254 Motor 45 90 83 76 398 43.2 55 50 Class II (15-75 kW) 2.5 N 80 No Leakage Marking Complete 15 3 5 15 10 10 10 68
9 17.12.2018 500020255 AHU Pump 1 Pompa 90 35 37 70 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
10 17.12.2018 500020256 Motor 45 90 56 57 398 35.1 80 70 Class II (15-75 kW) 4.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
11 17.12.2018 500020257 AHU Pump 2 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 17.12.2018 500020258 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 06.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION / COOLING TOWER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 06.12.2018 500010299 Pompa Kondenser Chiller A Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 06.12.2018 500010300 (Motor: 7,5KW, ELEKTRIM) Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 06.12.2018 500010301 Pompa Kondenser Chiller B Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 06.12.2018 500010302 (Motor: 22KW, MEZ FREN) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
5 06.12.2018 500014110 Pompa Cooling tower CR baru-A Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 06.12.2018 500014111 (P491 A) - Barat Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
7 06.12.2018 500014112 Pompa Cooling tower CR baru-B Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 06.12.2018 500014113 (P491 B) - Timur Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
9 06.12.2018 500004026 Fan Cooling Tower 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
10 06.12.2018 500008204 (Motor: 55KW,_____________) Motor 55 90 42 41 398 37.2 60 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
11 06.12.2018 500008581 Kondenser Pump 1(dari Utara) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 06.12.2018 500008582 (Motor: 55KW,_____________) Motor 55 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
13 06.12.2018 500008583 Kondenser Pump 2 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 06.12.2018 500008584 (Motor: 55KW,_____________) Motor 55 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
15 06.12.2018 500014031 Kondenser Pump 3 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
16 06.12.2018 500014032 (Motor: 37KW,____________ ) Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
17 06.12.2018 500008585 Kondenser Pump 4 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 06.12.2018 500008586 (Motor: 37KW, TECO ) Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
19 06.12.2018 500008587 Kondenser Pump 5 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 06.12.2018 500008588 (Motor: 37KW, TECO ) Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
21 06.12.2018 500014033 Kondenser Pump 6(Sltn sendiri) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 06.12.2018 500014034 (Motor: 37KW,____________ ) Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
23 06.12.2018 500008589 Fan Cooling Tower 1 Utara Fan 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
24 06.12.2018 500008590 (Motor: 30KW,_____________) Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
25 06.12.2018 500008591 Fan Cooling Tower 2 Utara Fan 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
26 06.12.2018 500008592 (Motor: 22 KW,_____________) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
27 06.12.2018 500008593 Fan Cooling Tower 1 Selatan Fan 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
28 06.12.2018 500008594 (Motor: 22 KW,_____________) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
29 06.12.2018 500008595 Fan Cooling Tower 2 Selatan Fan 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
30 06.12.2018 500008596 (Motor: 22 KW,_____________) Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 10.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 3

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 10.12.2018 500015934 G411 CIRCULATION WATER PUMP CR 301 Pump 90 47 46 100 Class II (15-75 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
2 10.12.2018 500015935 Motor 22 90 59 46 398 30.1 37 100 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
3 10.12.2018 500015936 G412 CIRCULATION WATER PUMP CR 302 Pump 90 47 39 100 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
4 10.12.2018 500015937 Motor 22 90 51 50 398 32.2 37 100 Class II (15-75 kW) 3N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
5 10.12.2018 500015938 G413 CIRCULATION WATER PUMP CR 303 Pump 90 46 45 100 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
6 10.12.2018 500015939 Motor 22 90 54 49 398 30.5 37 100 Class II (15-75 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
7 10.12.2018 500015940 G414 CIRCULATION WATER PUMP CR 304 Pump 90 45 44 100 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
8 10.12.2018 500015941 Motor 22 90 49 45 398 30.3 37 100 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
9 10.12.2018 500015942 G415 CIRCULATION WATER PUMP CR 305 Pump 90 51 48 100 Class II (15-75 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
10 10.12.2018 500015943 Motor 22 90 52 46 398 31.1 37 100 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
11 10.12.2018 500015944 G416 CIRCULATION WATER PUMP CR 306 Pump 90 48 46 100 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
12 10.12.2018 500015945 Motor 22 90 54 48 398 31.3 37 100 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
13 10.12.2018 500015946 G417 CIRCULATION WATER PUMP CR 307 Pump 90 55 54 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
14 10.12.2018 500015947 Motor 22 90 53 44 398 33.1 37 100 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
15 10.12.2018 500015948 G418 CIRCULATION WATER PUMP CR 308 Pump 90 54 51 100 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
16 10.12.2018 500015949 Motor 22 90 49 46 398 32.2 37 100 Class II (15-75 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 15 20 10 10 80
17 10.12.2018 500015950 G419 CIRCULATION WATER PUMP CR 309 Pump 90 52 53 100 Class II (15-75 kW) 4.5 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
18 10.12.2018 500015951 Motor 22 90 64 46 398 30.2 37 100 Class II (15-75 kW) 5.5 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
19 10.12.2018 500015952 G420 CIRCULATION WATER PUMP CR 310 Pump 90 58 59 100 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
20 10.12.2018 500015953 Motor 22 90 61 45 398 31.2 37 100 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
21 10.12.2018 500015954 G421 CIRCULATION WATER PUMP CR 311 Pump 90 48 48 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
22 10.12.2018 500015955 Motor 22 90 46 40 398 33.2 37 100 Class II (15-75 kW) 3.3 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
23 10.12.2018 500015956 G422 CIRCULATION WATER PUMP CR 312 Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 10.12.2018 500015957 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
25 10.12.2018 500015958 G423 CIRCULATION WATER PUMP CR 313 Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 10.12.2018 500015959 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
27 10.12.2018 500015960 G424 CIRCULATION WATER PUMP CR 314 Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 10.12.2018 500015961 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
29 10.12.2018 500015962 D401 AGITATOR CRYSTALIZER CR 301 Gearbox 90 37 38 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
30 10.12.2018 500015963 Motor 5.5 90 43 42 398 5.8 inv Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
31 10.12.2018 500015964 D402 AGITATOR CRYSTALIZER CR 302 Gearbox 90 37 38 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
32 10.12.2018 500015965 Motor 5.5 90 43 45 398 5.6 inv Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
33 10.12.2018 500015966 D403 AGITATOR CRYSTALIZER CR 303 Gearbox 90 39 38 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
34 10.12.2018 500015967 Motor 5.5 90 46 44 398 5.6 inv Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
35 10.12.2018 500015968 D404 AGITATOR CRYSTALIZER CR 304 Gearbox 90 38 39 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
36 10.12.2018 500015969 Motor 5.5 90 46 45 398 5.7 inv Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
37 10.12.2018 500015970 D405 AGITATOR CRYSTALIZER CR 305 Gearbox 90 37 38 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
38 10.12.2018 500015971 Motor 5.5 90 44 46 398 5.8 inv Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
39 10.12.2018 500015972 D406 AGITATOR CRYSTALIZER CR 306 Gearbox 90 39 38 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
40 10.12.2018 500015973 Motor 5.5 90 36 45 398 6.1 inv Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
41 10.12.2018 500015974 D407 AGITATOR CRYSTALIZER CR 307 Gearbox 90 38 37 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
42 10.12.2018 500015975 Motor 5.5 90 43 45 398 5.5 inv Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
43 10.12.2018 500015976 D408 AGITATOR CRYSTALIZER CR 308 Gearbox 90 39 38 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
44 10.12.2018 500015977 Motor 5.5 90 45 44 398 5.4 inv Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
45 10.12.2018 500015978 D409 AGITATOR CRYSTALIZER CR 309 Gearbox 90 38 37 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
46 10.12.2018 500015979 Motor 5.5 90 43 42 398 5.5 inv Class I (0-15 kW) 3.2 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
47 10.12.2018 500015980 D410 AGITATOR CRYSTALIZER CR 310 Gearbox 90 40 39 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
48 10.12.2018 500015981 Motor 5.5 90 46 45 398 5.6 inv Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
49 10.12.2018 500015982 D411 AGITATOR CRYSTALIZER CR 311 Gearbox 90 40 39 Class I (0-15 kW) 0.7 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
50 10.12.2018 500015983 Motor 5.5 90 45 43 398 5.7 inv Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
51 10.12.2018 500015984 D412 AGITATOR CRYSTALIZER CR 312 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
52 10.12.2018 500015985 Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
53 10.12.2018 500015986 D413 AGITATOR CRYSTALIZER CR 313 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
54 10.12.2018 500015987 Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
55 10.12.2018 500015988 D414 AGITATOR CRYSTALIZER CR 314 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
56 10.12.2018 500015989 Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
57 10.12.2018 500015994 G402A FILTER PRESS FEED PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
58 10.12.2018 500015995 Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
59 10.12.2018 500015996 G402B FILTER PRESS FEED PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
60 10.12.2018 500015997 Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
61 10.12.2018 500015998 G403A INTERMEDIATE OLEIN PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
62 10.12.2018 500015999 Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
63 10.12.2018 500016000 G403B INTERMEDIATE OLEIN PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 10.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 3

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
64 10.12.2018 500016001 Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
65 10.12.2018 500016002 G403C COOL WASHING PUMP Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
66 10.12.2018 500016003 Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
67 10.12.2018 500016004 G404A STEARIN PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
68 10.12.2018 500016005 Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
69 10.12.2018 500016006 G404B STEARIN PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
70 10.12.2018 500016007 Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
71 10.12.2018 500016008 G405A HOT WATER PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
72 10.12.2018 500016009 Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
73 10.12.2018 500016010 G405B HOT WATER PUMP B Pump 90 62 60 100 Class II (15-75 kW) 5.4 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
74 10.12.2018 500016011 Motor 37 90 44 40 398 36.1 55 100 Class II (15-75 kW) 5.5 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
75 10.12.2018 500016012 G406A WASHING TANK CIRCULATION PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
76 10.12.2018 500016013 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
77 10.12.2018 500016014 G406B WASHING TANK CIRCULATION PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
78 10.12.2018 500016015 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
79 10.12.2018 500016016 G407A CHILLED WATER PUMP A Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
80 10.12.2018 500016017 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
81 10.12.2018 500016018 G407B CHILLED WATER PUMP B Pump 90 56 55 100 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
82 10.12.2018 500016019 Motor 22 90 44 45 398 36.4 55 100 Class II (15-75 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
83 10.12.2018 500016020 G407C COOL WASHING WATER PUMP Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
84 10.12.2018 500016021 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
85 10.12.2018 500016022 G408A CHILLER EVAPORATOR PUMP A Pump 90 44 46 60 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
86 10.12.2018 500016023 Motor 18.5 90 70 57 398 33.4 20 60 Class II (15-75 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 5 20 10 10 70
87 10.12.2018 500016024 G408B CHILLER EVAPORATOR PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
88 10.12.2018 500016025 Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
89 10.12.2018 500016026 G408C CHILLER EVAPORATOR PUMP C Pump 90 38 32 100 Class II (15-75 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
90 10.12.2018 500016027 Motor 18.5 90 69 68 398 34.4 20 100 Class II (15-75 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 5 20 10 10 70
91 10.12.2018 500016028 G409A SLOP OIL PUMP A Pump 90 52 51 100 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
92 10.12.2018 500016029 Motor 5.5 90 41 40 398 100 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
93 10.12.2018 500016030 G409B SLOP OIL PUMP B Pump 90 55 53 100 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
94 10.12.2018 500016031 Motor 5.5 90 41 40 398 100 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
95 10.12.2018 500016032 G410A SQUEZZING PUMP A Pump 95 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
96 10.12.2018 500016033 Motor 30 95 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
97 10.12.2018 500016034 G410B SQUEZZING PUMP B Pump 95 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
98 10.12.2018 500016035 Motor 30 95 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
99 10.12.2018 500016036 G490A TEMPERED CIRCULATION TANK PUMP A Pump 95 48 46 100 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
100 10.12.2018 500016037 Motor 22 95 51 47 398 33 48 100 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
101 10.12.2018 500016038 G490B TEMPERED CIRCULATION TANK PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
102 10.12.2018 500016039 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
103 10.12.2018 500016040 G491A COOLING TOWER CIRCULATION PUMP A Pump 90 57 54 100 Class II (15-75 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
104 10.12.2018 500016041 Motor 22 90 43 44 398 29.1 30 100 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
105 10.12.2018 500016042 G491B COOLING TOWER CIRCULATION PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
106 10.12.2018 500016043 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
107 10.12.2018 500016044 G492A CONDENSOR CHILLER PUMP A Pump 90 45 44 100 Class II (15-75 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
108 10.12.2018 500016045 Motor 18.5 90 60 58 398 31.1 30 100 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
109 10.12.2018 500016046 G492B CONDENSOR CHILLER PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
110 10.12.2018 500016047 Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
111 10.12.2018 500016048 G492C CONDENSOR CHILLER PUMP C Pump 90 46 47 100 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
112 10.12.2018 500016049 Motor 18.5 90 62 60 398 32.2 30 100 Class II (15-75 kW) 3.9 N 80 No Leakage Marking Complete 15 5 5 5 10 10 10 60
113 10.12.2018 500016050 G493A TEMPERED WATER PUMP A Pump 90 61 53 100 Class II (15-75 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
114 10.12.2018 500016051 Motor 22 90 45 43 398 31.5 30 100 Class II (15-75 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 15 20 10 10 80
115 10.12.2018 500016052 G493B TEMPERED WATER PUMP B Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
116 10.12.2018 500016053 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
117 10.12.2018 500016054 G494 HOT WATER TRANSFER PUMP Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
118 10.12.2018 500016055 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
119 10.12.2018 500016056 G495 REWORK PUMP Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
120 10.12.2018 500016057 Motor
Filter 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
121 10.12.2018 500016062 FILTER PRESS MACHINE A Press
Filter 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
122 10.12.2018 500016063 FILTER PRESS MACHINE B Press
Cooling 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
123 10.12.2018 500016058 F491A FAN COOLING TOWER A Tower 90 55 57 Class II (15-75 kW) N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
124 10.12.2018 500016059 Motor
Cooling 37 90 50 41 398 26.1 22 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
125 10.12.2018 500016060 F491B FAN COOLING TOWER B Tower 90 55 56 Class II (15-75 kW) N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
126 10.12.2018 500016061 Motor 37 90 50 41 398 26.5 22 Class II (15-75 kW) 4.8 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
127 10.12.2018 500016687 G 496 CHAIN HOIST FILTER PRESS Hoist 90 30 29 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
128 10.12.2018 500016688 Motor 1.5 90 31 32 398 15.1 10 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 0 10 10 45
129 10.12.2018 500016337 FRA3- POMPA 1 TANKI FR Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 10.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FRACTIONATION 3

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
130 10.12.2018 500016338 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
131 10.12.2018 500016700 G401A FRA3- POMPA 2 TANKI FR Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
132 10.12.2018 500016701 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
133 10.12.2018 500016702 G401B FRA3- POMPA RBD1 KE CR Pump 90 54 57 100 Class II (15-75 kW) 3.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
134 10.12.2018 500016703 Motor 15 90 44 43 398 29.2 30 100 Class II (15-75 kW) 6.9 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
135 10.12.2018 500016704 FRA3- POMPA RBD2 KE TK.P Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
136 10.12.2018 500016705 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
137 10.12.2018 500016690 FRA3-POMPA STEARIN KE Tk.C&Tk.I Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
138 10.12.2018 500016691 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
139 10.12.2018 500016706 FRA3- POMPA REJECT Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
140 10.12.2018 500016707 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
141 10.12.2018 500016708 FRA3- POMPA FAD Pump 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
142 10.12.2018 500016709 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 17.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE(STORAGE TK.-GARAM-SARBOE-SOFTWATER)

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 17.12.2018 500010211 Pompa Cooling PHE GA & Sch Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 17.12.2018 500010212 Motor:_____________, 7,5 Kw Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 15.02.2018 500010213 Pp Sabroe Sch&make up cond Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 15.02.2018 500010214 Motor: ASEA, 7,5 Kw Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 15.02.2018 500010215 Pp VTT Cooling &Sabroe VTT Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 15.02.2018 500010216 Motor: Siemens, 5,5 Kw Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 15.02.2018 500010217 Mgr Pump MCM cooling Phe Pompa 90 47 4 100 Class I (0-15 kW) 4.7 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
8 15.02.2018 500010218 Motor:______________, 7,5 KW Motor 7.5 90 46 42 398 7.8 24 100 Class I (0-15 kW) 4.2 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
9 15.02.2018 500010219 Make up cooling tower Mgr Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 15.02.2018 500010220 Motor: MEZ, 5 KW Motor 5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 15.02.2018 500016072 POMPA PHE MARGARINE UGS (UTARA) Pompa 90 56 55 100 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
12 15.02.2018 500016073 Motor 15 90 44 46 398 10.1 22 100 Class I (0-15 kW) 4.3 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
13 15.02.2018 500016074 POMPA PHE MARGARINE UGS (SELATAN) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 15.02.2018 500016075 Motor 15 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 15.02.2018 Pompa Transfer CNO Pompa 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
16 15.02.2018 Motor 90 Class I (0-15 kW) No Leakage Marking Complete 15 10 10 35
STORAGE TANK
17 15.02.2018 500010683 Transfer Antar Tanki M Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 15.02.2018 500010684 Motor: Elektrim, 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 17.12.2018 500010692 Transfer Truck Ke Tanki Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
20 17.12.2018 500010694 Motor: Elektrim, 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 17.12.2018 500010689 Transfer to Premixer Votator Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
22 17.12.2018 500010690 Motor: Elektrim, 4 KW Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 17.12.2018 500008093 Transfer to Premixer Schroder Pompa 90 52 50 100 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
24 17.12.2018 500011924 Motor: MEZ, 11 KW Motor 11 90 36 35 100 Class I (0-15 kW) 3.3 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
25 17.12.2018 500010686 Transfer to Premixer Votator Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
26 17.12.2018 500010687 Motor: Siemens, 3 KW Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 17.12.2018 500004331 Transfer to Premixer Schroder Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
28 17.12.2018 500007924 Motor:_________________ Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 17.12.2018 500004329 Transfer to Premixer GA1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
30 17.12.2018 500007921 Motor:__________________ Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 17.12.2018 500008734 Transfer to Premixer MCM Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
32 17.12.2018 500008735 Motor: TH Halter Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
33 17.12.2018 500004332 Transfer to Premixer GA 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
34 17.12.2018 500007922 Motor:___________________ Motor 3 90 15 15
35 17.12.2018 500004334 Agitator tank M-1 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
36 17.12.2018 500007926 Motor: Sumitomo, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
37 17.12.2018 500004335 Agitator tank M-2 Gearbox 90 41 47 Class II (15-75 kW) 4.1 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
38 17.12.2018 500007927 Motor: Sumitomo, 15 KW Motor 15 90 50 49 390 10.5 25 Class II (15-75 kW) 3.7 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
39 17.12.2018 500004336 Agitator tank M-3 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
40 17.12.2018 500007928 Motor: Sumitomo, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
41 17.12.2018 500004337 Agitator tank M-4 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
42 17.12.2018 500007929 Motor: Sumitomo, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
43 17.12.2018 500004338 Agitator tank M-5 Gearbox 90 33 34 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
44 17.12.2018 500007930 Motor: Sumitomo, 15 KW Motor 15 90 51 42 390 8.6 22 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
45 17.12.2018 500004339 Agitator tank M-6 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
46 17.12.2018 500007931 Motor: Sumitomo, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
47 17.12.2018 500004340 Agitator tank M-7 Gearbox 90 46 49 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
48 17.12.2018 500007932 Motor: Sumitomo, 15 KW Motor 15 90 53 51 390 8.7 20 Class II (15-75 kW) 3.6 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
49 17.12.2018 500004341 Agitator tank M-8 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
50 17.12.2018 500007933 Motor: Sumitomo, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
GUDANG GARAM
51 17.12.2018 500004342 Tanki air (Raw Water)/Barat Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
52 17.12.2018 500007935 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
53 17.12.2018 500010503 Tanki air (Raw Water)/Timur Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
54 17.12.2018 500010504 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
54 17.12.2018 500004343 Pompa air Garam 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
55 17.12.2018 500007936 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
56 17.12.2018 500004345 Pompa air Garam 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
57 17.12.2018 500007940 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
58 17.12.2018 500004347 Pompa air Garam 3 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
59 17.12.2018 500007942 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
60 17.12.2018 500004349 Tanki Hot Water 1(Utara) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 17.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE(STORAGE TK.-GARAM-SARBOE-SOFTWATER)

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
61 17.12.2018 500007923 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
62 17.12.2018 500004350 Tanki Hot Water 2 (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
63 17.12.2018 500007945 Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
64 17.12.2018 500016762 Tanki Hot Water 3(Selatan) Pompa 90 47 51 50 Class II (15-75 kW) 4.5 N 60 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
65 17.12.2018 500016763 Motor 15 90 58 46 398 10.5 13 50 Class II (15-75 kW) 3.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
66 17.12.2018 500004344 Agitator Tk. Garam 1 GB Agt. 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
67 17.12.2018 500007937 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
68 17.12.2018 500004346 Agitator Tk. Garam 2 GB Agt. 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
69 17.12.2018 500007941 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
70 17.12.2018 500004348 Agitator Tk. Garam 3 GB Agt. 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
71 17.12.2018 500007943 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
72 17.12.2018 500004351 Hoist Chain hoist 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
73 17.12.2018 500008150 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
SOFT WATER MARGARINE
74 17.12.2018 500014181 Feed Water Pump A Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
75 17.12.2018 500014193 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
76 17.12.2018 500014197 Feed Water Pump B Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
77 17.12.2018 500014203 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
78 17.12.2018 500014209 Transfer Water Pump A Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
79 17.12.2018 500014213 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
80 17.12.2018 500014214 Transfer Water Pump B Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
81 17.12.2018 500014215 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
82 17.12.2018 500014216 Mixer Agitator Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
83 17.12.2018 500014218 Motor 0.55 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 11.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI VOTATOR

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 11.12.2018 500004356 Pompa Water phase Tk.(VT) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 11.12.2018 500007962 Motor: Siemens, 1,5 KW Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 11.12.2018 500007963 Agitator A Water phase Tk.(V) Agitator 90 56 54 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
4 11.12.2018 500007964 Watt-EUSAS Motor, 1,1 KW Motor 1.1 90 59 58 390 0.9 2.5 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
5 11.12.2018 500004357 Pompa C I P Tk.(VT) Pompa
6 11.12.2018 500007967 Motor: Siemens, 11 KW Motor 11
7 11.12.2018 500004355 Pompa Emulsifier Tk (VT) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 11.12.2018 500007957 Motor: Siemens, 1,1 KW Motor 1.1 90 Class I (0-15 kW) 80 Leakage Marking Complete 15 10 10 35
9 11.12.2018 500007958 Agitator A Emulsifier Tk (VT) Gearbox 90 62 61 Class I (0-15 kW) 2.3 N 80 Leakage Marking Complete 15 5 5 10 15 1 10 10 71
10 11.12.2018 500007959 Watt-EUSAS Motor, 0,75 KW Motor 0.75 90 59 58 390 1.8 3.2 Class I (0-15 kW) 3.6 N 80 Leakage Marking Complete 15 5 5 0 5 10 10 50
11 11.12.2018 500007960 Agitator B Emulsifier Tk (VT) Gearbox
12 11.12.2018 500007961 Watt-EUSAS Motor, 0,75 KW Motor 0.75
13 11.12.2018 500008094 Agitator A Premixer Tk (Barat) Gearbox 90 43 52 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
14 11.12.2018 500010884 Watt-EUSAS Motor, 2,2 KW Motor 2.2 90 54 53 390 2.5 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
15 11.12.2018 500008095 Agitator B Premixer Tk (timur) Gearbox 90 54 55 Class I (0-15 kW) 15.5 N 80 No Leakage Marking Complete Arah Axial 15 5 5 1 15 5 10 10 66
16 11.12.2018 500010885 Watt-EUSAS Motor, 2,2 KW Motor 2.2 90 55 54 390 2.7 Class I (0-15 kW) 18.1 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 15 1 10 10 61
17 11.12.2018 500010892 Pompa A Premixer Tk (VT) Pompa 90 47 44 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
18 11.12.2018 500010893 Motor: HILGA, ............ KW Motor 11 90 60 54 390 2.5 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
19 11.12.2018 500010894 Pompa B Premixer Tk (VT) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 11.12.2018 500010895 Motor: Siemens, 4 KW Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 11.12.2018 500010888 Pompa Remelt Tk (VT) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
22 11.12.2018 500010889 Motor: HILGA, 1,1KW Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 11.12.2018 500008097 Agitator Remelt Tk (VT) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 11.12.2018 500010886 Watt-EUSAS Motor, 5,5 KW Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 11.12.2018 500008101 PIN machine A (VT) Gearbox 90 46 45 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
26 11.12.2018 500010874 David & brow , 5,5 KW Motor 5.5 90 64 42 390 6.6 13 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
27 11.12.2018 500011496 PIN machine B (VT) Gearbox 90 47 46 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
28 11.12.2018 500011497 David & brow , 5,5 KW Motor 5.5 90 55 52 390 1.9 13 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
29 11.12.2018 500008100 Votator machine (VT) Mesin 90 44 43 Class I (0-15 kW) 5.2 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
30 11.12.2018 500010875 Motor: MEZ, ............. KW Motor 11 90 61 60 390 11.6 63 Class I (0-15 kW) 9.2 N 80 No Leakage Marking Complete Arah Vertical 30 10 10 30 2 20 20 122
31 11.12.2018 500019168 Piston pump (VT) Pompa 90 52 51 Class II (15-75 kW) 1.6 N 80 No Leakage Marking Complete 30 10 10 40 30 10 20 20 170
32 11.12.2018 500019179 Motor 90 53 49 390 9.9 10.5 Class II (15-75 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 40 20 20 130
33 11.12.2018 500010898 Agitator Balance tk (VT) Gearbox
34 11.12.2018 500010899 Motor: NORD, 4KW Motor 4
35 11.12.2018 500007969 Pompa Balik Condensat (GA) Pompa 90 45 67 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
36 11.12.2018 500007970 Motor:______________,___KW Motor 11 90 49 48 390 3.6 6 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
37 11.12.2018 500020322 PIN Machine II A (Timur) Gearbox 90 50 49 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
38 11.12.2018 500020323 Motor 90 49 46 390 1.7 13 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
39 11.12.2018 500020324 PIN Machine II B (Barat) Gearbox 90 51 49 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
40 11.12.2018 500020325 Motor 90 48 47 395 1.7 13 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
41 11.12.2018 500004375 Compressor SABROE VOTATOR SAB 128 HF Gearbox 90 55 46 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
42 11.12.2018 500008007 Motor 90 40 39 398 30.8 105 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
43 11.12.2018 BAC CONDENSER VOTATOR Gearbox 90 31 30 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
44 11.12.2018 Motor 90 56 49 398 2.9 4.5 Class I (0-15 kW) 4.6 N 80 No Leakage Marking Complete 30 10 10 10 20 20 100
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 11.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI VOTATOR

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 12.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI SCHRODER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 12.12.2018 500004365 Pompa Pasteurisasi (SCH) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 12.12.2018 500007987 Motor: LAMMERS, 4 KW Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 12.12.2018 500004369 Piston pump (SCH) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
4 12.12.2018 500007995 Motor: _____________,18,5 KW Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
5 12.12.2018 500006870 MotorA - 1 Kombinator (SCH) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
6 12.12.2018 500010876 SEW - Eurodrive, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
7 12.12.2018 500006871 MotorB - 1 Kombinator (SCH) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
8 12.12.2018 500007998 SEW - Eurodrive, 22 KW Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
9 12.12.2018 500008000 MotorC - 1 Kombinator (SCH)Motor: GRUNDFOS, 0,37 KW Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
10 12.12.2018 500006872 MotorA - 2 Kombinator (SCH) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
11 12.12.2018 500007997 SEW - Eurodrive, 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
12 12.12.2018 500006873 MotorB - 2 Kombinator (SCH) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
13 12.12.2018 500007999 SEW - Eurodrive, 22 KW Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
14 12.12.2018 500008001 MotorC - 2 Kombinator (SCH)Motor: GRUNDFOS, 0,37 KW Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 12.12.2018 500004362 Pompa Rework tank (SCH) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 12.12.2018 500007980 Motor: MEZ , 4 Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 12.12.2018 500007981 Agitator Rework Tk (SCH) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 12.12.2018 500007982 Motor: ______________,1,1 KW Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 12.12.2018 500010910 Pompa Emulsifier Tk (SCH) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 12.12.2018 500010911 Motor: MEZ , 2,2 KW Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 12.12.2018 500008096 Agitator Emulsifier Tk (SCH) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 12.12.2018 500010912 Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 12.12.2018 500011466 Pompa VIV (SCH) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
24 12.12.2018 500011467 Motor: TH HALTER, 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 12.12.2018 500007978 Agitator 01 PremixerTk (SCH) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 12.12.2018 500007979 Motor: Ag. CICHO , 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 12.12.2018 500004361 Agitator 02 Premixer Tk (SCH) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 12.12.2018 500007977 Motor: Ag. CICHO , 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 12.12.2018 500010877 Pompa A Premixer Tk (SCH) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
30 12.12.2018 500010878 Motor: MEZ , 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
31 12.12.2018 500010879 Pompa B Premixer Tk (SCH) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
32 12.12.2018 500010880 MOTOR: Marellimotori , 15 KW Motor 15 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
33 12.12.2018 500010881 Pompa C Premixer Tk (SCH) Pompa
34 12.12.2018 500010882 Motor: MEZ , 5,5 KW Motor 5.5
35 12.12.2018 500019248 COMPRESSOR SABROE SAB 193 L (SCH) Compressor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
36 12.12.2018 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
37 12.12.2018 500004377 BAC CONDENSER SCHRODER BAC 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
38 12.12.2018 500008013 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 11.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI GA

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 11.12.2018 500004352 Pompa Rework tank (GA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 11.12.2018 500007946 CSF Inox/Reccordelia Italy,2,2KW Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 11.12.2018 500004353 Pompa Water phase (GA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
4 11.12.2018 500007947 CSF Inox/Reccordelia Italy,2,2KW Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 11.12.2018 Agitator A Water phase Tk.(GA) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 11.12.2018 500007948 Hoyer Motor, 0,37 KW Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 11.12.2018 Agitator B Water phase Tk.(GA) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 11.12.2018 500007949 Hoyer Motor, 0,37 KW Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 11.12.2018 500007950 Pompa Emulsifier (GA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 11.12.2018 500007951 CSF Inox/Reccordelia Italy,1,5KW Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 11.12.2018 500007953 Agitator A Emulsifier tank (GA) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 11.12.2018 500007954 Rossi Motoriduttori, _____KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 11.12.2018 500004359 Pompa Bufer tank (GA) Pompa 90 49 47 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
14 11.12.2018 500007971 CSF Inox/Reccordelia Italy,7,5KW Motor 7.5 90 50 49 398 3.1 9 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
15 11.12.2018 500007972 Agitator Bufer tank (GA) Gearbox 90 58 59 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
16 11.12.2018 500007973 Hoyer Motor, 7,5 KW Motor 7.5 90 63 61 398 2.1 6 Class I (0-15 kW) 3.7 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
17 11.12.2018 500004360 Pompa Premixer tank (GA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 11.12.2018 500007974 CSF Inox/Italy,7,5KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 11.12.2018 500007975 Agitator Premixer tank (GA) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 11.12.2018 500007976 Motor: Cyclo Drive, 3 KW Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 11.12.2018 500004363 Pompa A Pasteurisasi (GA) Pompa 90 55 53 Class I (0-15 kW) 3.3 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
22 11.12.2018 500007983 CSF Inox/Reccordelia Italy:1,5KW Motor 1.5 90 53 47 3998 1.3 3.5 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
23 11.12.2018 500007984 Pompa B Pasteurisasi (GA) Pompa 90 71 69 Class I (0-15 kW) 5.4 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
24 11.12.2018 500007985 CSF Inox/Reccordelia Italy:1,5KW Motor 1.5 90 56 42 398 1.7 6 Class I (0-15 kW) 5.2 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
25 11.12.2018 500004364 Pompa A Continue remelt (GA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
26 11.12.2018 500007986 CSF Inox/Reccordelia Italy:5,5KW Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 11.12.2018 500010890 Pompa B Continue remelt (GA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 11.12.2018 500010891 Motor: Alflow :5,5KW Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 11.12.2018 500007988 PIN machine Atas (GA) Gearbox 90 66 63 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
30 11.12.2018 500007989 Rossi Motoriduttori,11 KW Motor 11 90 65 58 398 1.9 20 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
31 11.12.2018 500007990 PIN machine Bawah (GA) Gearbox 90 63 61 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
32 11.12.2018 500007991 Rossi Motoriduttori,11 KW Motor 11 90 58 54 398 2.2 20 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
33 11.12.2018 500004367 Pompa High Pressure (GA) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
34 11.12.2018 500004367 Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 20 20 80
35 11.12.2018 500007992 Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
36 11.12.2018 500006868 Perfector machine A (GA) Gearbox 90 58 56 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
37 11.12.2018 500007993 ABB Motor, 45 KW Motor 45 90 45 41 398 31.7 100 Class II (15-75 kW) 2.4 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
38 11.12.2018 500006869 Perfector machine B (GA) Gearbox 90 59 61 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 30 10 10 10 30 10 20 20 140
39 11.12.2018 500007994 ABB Motor, 45 KW Motor 45 90 38 44 398 35.6 100 Class II (15-75 kW) 8.6 N 80 No Leakage Marking Complete Arah Horizontal 30 10 10 30 10 20 20 130
40 11.12.2018 500004373 Plasticator mach. 2 (GA) Mesin 90 40 39 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
41 11.12.2018 500008003 ABB Motor, 7,5 KW Motor 7.5 90 45 41 390 0.4 0.6 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
42 11.12.2018 500004374 Compressor SABROE SAB 163 HF (G&A) Gearbox 90 67 57 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
43 11.12.2018 500008004 Motor 90 35 38 398 40.1 105 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
44 11.12.2018 500004376 BAC CONDENSER GA Gearbox 90 31 30 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 20 10 20 20 120
45 11.12.2018 500008010 Motor 90 67 57 398 2.5 9 Class I (0-15 kW) 3.4 N 80 No Leakage Marking Complete 30 10 10 10 20 20 100
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 11.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI GA

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 12.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI CHEMCTECH

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 12.12.2018 500010719 Pompa Water Heating A (MCM) Pompa
2 12.12.2018 500010720 Motor: FIMET, _____KW Motor 1.1
3 12.12.2018 500010723 Pompa Water Heating B (MCM) Pompa
4 12.12.2018 500010724 Motor: FIMET, _____KW Motor 1.1
5 12.12.2018 500010725 Pompa Water Heating C (MCM) Pompa
6 12.12.2018 500010726 Motor: FIMET, _____KW Motor 1.1
7 12.12.2018 500008732 Pompa Premixer Pump (MCM) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 12.12.2018 500008733 Marellimotori : 7,5 KW Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 12.12.2018 500008736 Agitator Premixer 01 (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
10 12.12.2018 500008737 Motor: NORD, 2,2 KW Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 12.12.2018 500008738 Agitator Premixer 02 (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 12.12.2018 500008739 Motor: NORD, 2,2 KW Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 12.12.2018 500008714 Pompa Remelt /Rework (MCM) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 12.12.2018 500008715 Motor: HALTER, 1,5 KW Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 12.12.2018 500008718 Agitator Remelt /Rework (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 12.12.2018 500008719 Motor: NORD, 2,2 KW Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 12.12.2018 500008720 Pompa Emulsifier 1 (MCM) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 12.12.2018 500008721 Motor: HALTER, 1,5 KW Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 12.12.2018 500008722 Agitator Emulsifier 1 (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 12.12.2018 500008723 Motor: NORD, 1,1 KW Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 12.12.2018 500008724 Agitator Emulsifier 2 (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 12.12.2018 500008725 Motor: NORD, 1,1 KW Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 12.12.2018 500008726 Pompa Water Phase (MCM) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
24 12.12.2018 500008727 Motor: HALTER, 1,5 KW Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 12.12.2018 500008728 Agitator Water phase 1 (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 12.12.2018 500008729 Motor: NORD, 1,1 KW Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 12.12.2018 500008730 Agitator Water phase 2 (MCM) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 12.12.2018 500008731 Motor: NORD, 1,1 KW Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 12.12.2018 500008744 Perfector Plant A1 (MCM) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
30 12.12.2018 500008745 Motor: PADOVAM, ______KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
31 12.12.2018 500008746 Perfector Plant A2 (MCM) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
32 12.12.2018 500008747 Motor: PADOVAM, ______KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
33 12.12.2018 500008748 Perfector Plant A3 (MCM) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
34 12.12.2018 500008749 Motor: PADOVAM, ______KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
35 12.12.2018 500008750 Perfector Plant A4 (MCM) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
36 12.12.2018 500008751 Motor: PADOVAM, ______KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
37 12.12.2018 500008752 Chilling Machine Plant B1 (MCM) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
38 12.12.2018 500008753 Motor: PADOVAM, ______KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
39 12.12.2018 500008754 Chilling Machine Plant B2 (MCM) Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
40 12.12.2018 500008755 Motor: PADOVAM, ______KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
41 12.12.2018 500008742 Pompa High Pressure (MCM) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
42 12.12.2018 500008743 Motor: NORD, 18,5 KW Motor 37 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
43 12.12.2018 500020326 Pompa Hot Water (SCH - MCM) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
44 12.12.2018 500020327 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
45 12.12.2018 500010208 NH3 COMPRESSORE CHEMTECH 3T Gearbox 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
46 12.12.2018 500010209 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
47 12.12.2018 500016680 BAC CONDENSER 3 (CHEMTECH) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
48 12.12.2018 500016681 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 12.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI CHEMCTECH

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 12.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI UGS 6 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 12.12.2018 500016099 Pompa PHE Pasteurisasi A(Hot) Pompa 90 70 72 100 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
2 12.12.2018 500016100 Motor 1.5 90 68 69 390 1.8 3 100 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
3 12.12.2018 500016101 Pompa PHE Pasteurisasi A(Cool) Pompa 90 47 46 100 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
4 12.12.2018 500016102 Motor 1.5 90 61 67 390 1.8 3 100 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
5 12.12.2018 500016528 Pompa PHE Remelt Pompa 90 85 81 100 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 3 3 10 5 10 10 56
6 12.12.2018 500016529 Motor 3 90 49 45 390 1.7 3 100 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
7 12.12.2018 500016530 Pompa Tanki Fat Block/Remelt Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 12.12.2018 500016531 Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 12.12.2018 500016532 POMPA MIXING TANK A Pompa 90 50 49 100 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
10 12.12.2018 500016533 Motor 7.5 90 47 48 390 6.5 14 100 Class I (0-15 kW) 4.2 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
11 12.12.2018 500016534 POMPA MIXING TANK B Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 12.12.2018 500016535 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 12.12.2018 500016536 POMPA EMULSIFIER Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 12.12.2018 500016537 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 12.12.2018 500016538 POMPA WATERPHASE TANK A Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
16 12.12.2018 500016539 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 12.12.2018 500016540 POMPA WATERPHASE TANK B Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 12.12.2018 500016541 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 12.12.2018 500016542 POMPA CONDENSAT Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
20 12.12.2018 500016543 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 12.12.2018 500016632 Pompa Hot Water 90 0C Pompa 90 80 83 50 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 15 5 3 5 5 10 10 53
22 12.12.2018 500016633 Motor 4 90 55 58 390 5.1 6 50 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
23 12.12.2018 500016662 Pompa Hot Water 65 0C Pompa 90 51 57 50 Class I (0-15 kW) 3.5 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
24 12.12.2018 500016663 Motor 1.5 90 47 49 390 4.1 8.5 50 Class I (0-15 kW) 3.3 N 80 No Leakage Marking Complete 15 5 5 0 5 10 10 50
25 12.12.2018 500016664 Pompa Hot Water 45 0C Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
26 12.12.2018 500016665 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 12.12.2018 500016103 AGITATOR EMULSIFIER TK A Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 12.12.2018 500016104 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 12.12.2018 500016105 AGITATOR EMULSIFIER TK B Pompa 90 52 53 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
30 12.12.2018 500016106 Motor 2.2 90 53 51 390 1.8 5 Class I (0-15 kW) 3.6 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
31 12.12.2018 500016107 AGITATOR WATERPHASE TK A Gearbox 90 51 52 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
32 12.12.2018 500016108 Motor 2.2 90 52 48 390 2.1 5 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
33 12.12.2018 500016109 AGITATOR WATERPHASE TK B Gearbox 90 51 52 Class I (0-15 kW) 6.2 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
34 12.12.2018 500016110 Motor 2.2 90 52 49 390 2.4 5 Class I (0-15 kW) 9.1 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 15 1 10 10 61
35 12.12.2018 500016111 AGITATOR MIXING TK A Pompa 90 56 55 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
36 12.12.2018 500016112 Motor 4 90 57 54 390 2.3 10 Class I (0-15 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
37 12.12.2018 500016113 AGITATOR MIXING TK B Gearbox 90 55 50 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
38 12.12.2018 500016114 Motor 4 90 56 53 390 2.4 10 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
39 12.12.2018 500016115 AGITATOR REMELT TANK Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
40 12.12.2018 500016116 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
41 12.12.2018 500016117 HIGH PRESSURE PUMP Gearbox 90 56 55 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
42 12.12.2018 500016118 Motor 37 90 48 46 390 19 50 100 Class II (15-75 kW) 3.8 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
43 12.12.2018 500016362 AMONIA COMPRESSOR COMP 90 58 56 Class II (15-75 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 40 10 20 20 140
44 12.12.2018 500016670 Motor 37 90 49 51 390 3.6 63 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
45 12.12.2018 500016427 AMONIA CONDENSER/BAC Gearbox 90 31 30 Class II (15-75 kW) 2.8 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
46 12.12.2018 500016671 Motor 22 90 56 52 390 21 20 Class II (15-75 kW) 3.6 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
47 12.12.2018 500004372 PLASTICATOR MACHINE Gearbox 90 47 42 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
48 12.12.2018 500008002 Motor 7.5 90 49 45 390 2.7 20 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
49 12.12.2018 500016516 CHILLING UNIT A Gearbox 90 56 55 Class I (0-15 kW) 1N 80 No Leakage Marking Complete 30 10 10 40 30 10 20 20 170
50 12.12.2018 500016517 Motor 11 90 46 44 390 8.2 25 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
51 12.12.2018 500016518 CHILLING UNIT B Gearbox 90 50 49 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
52 12.12.2018 500016519 Motor 11 90 44 43 390 7.6 25 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
53 12.12.2018 500016520 CHILLING UNIT C Gearbox 90 53 51 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
54 12.12.2018 500016521 Motor 11 90 48 46 390 12.4 32 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
55 12.12.2018 500016522 CHILLING UNIT D Gearbox 90 56 57 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
56 12.12.2018 500016523 Motor 11 90 46 44 390 12.3 32 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
57 12.12.2018 500016524 WORKING UNIT A Pompa 90 64 63 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
58 12.12.2018 500016525 Motor 11 90 45 45 390 5.5 40 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
59 12.12.2018 500016526 WORKING UNIT B Pompa 90 60 59 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
60 12.12.2018 500016527 Motor 11 90 48 43 390 5.6 40 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
TOTAL ###
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 12.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI UGS 6 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 11.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI UGS 9 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 11.12.2018 500016572 POMPA PHE PRE COOL Pompa 90 43 42 100 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
2 11.12.2018 500016573 Motor 3 90 61 60 390 1.8 2.5 100 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
3 11.12.2018 500016574 POMPA PHE PASTEURISASI Pompa 90 38 47 100 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
4 11.12.2018 500016575 Motor 3 90 62 61 390 1.9 2.5 100 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
5 11.12.2018 500016576 POMPA PHE REMELT Pompa 90 64 48 70 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
6 11.12.2018 500016577 Motor 3 90 66 64 390 2 3 70 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
7 11.12.2018 500016578 POMPA TANK FAT BLOCK/REMELT Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 11.12.2018 500016579 Motor 4 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 11.12.2018 500016580 POMPA BUFFER TANK Pompa 90 50 56 100 Class I (0-15 kW) 6.9 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
10 11.12.2018 500016581 Motor 3 90 57 51 390 11 10 100 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
11 11.12.2018 500016582 POMPA MIXING TANK Pompa 90 50 54 100 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
12 11.12.2018 500016583 Motor 7.5 90 46 45 390 6.6 10 100 Class I (0-15 kW) 2.9 N 80 No Leakage Marking Complete 15 5 15 5 10 10 60
13 11.12.2018 500016584 POMPA EMULSIFIER Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 10 10 45
14 11.12.2018 500016585 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 11.12.2018 500016586 POMPA WATERPHASE TANK A Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
16 11.12.2018 500016587 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 11.12.2018 500016588 POMPA WATERPHASE TANK B Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 11.12.2018 500016589 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 11.12.2018 500016634 Pompa Hot Water 90 0C Pompa 90 83 82 50 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 3 3 10 5 10 10 56
20 11.12.2018 500016635 Motor 3 90 55 40 390 2.7 4 50 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
21 11.12.2018 500016666 Pompa Hot Water 65 0C Pompa 90 54 53 50 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
22 11.12.2018 500016667 Motor 3 90 50 51 390 3.5 6 50 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
23 11.12.2018 500016668 Pompa Hot Water 45 0C Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
24 11.12.2018 500016669 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 11.12.2018 500016674 Pompa Tanki CIP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
26 11.12.2018 500016675 Motor 3 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 11.12.2018 500016676 Pompa Dosing ACID Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 11.12.2018 500016677 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 11.12.2018 500016678 Pompa Dosing NaOH Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
30 11.12.2018 500016679 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 11.12.2018 500016435 AGITATOR EMULSIFIER TK A Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
32 11.12.2018 500016590 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
33 11.12.2018 500016436 AGITATOR EMULSIFIER TK B Gearbox 90 61 52 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
34 11.12.2018 500016591 Motor 2.2 90 52 51 390 Class I (0-15 kW) 3.6 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
35 11.12.2018 500016437 AGITATOR WATERPHASE TK A Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
36 11.12.2018 500016592 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
37 11.12.2018 500016438 AGITATOR WATERPHASE TK B Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
38 11.12.2018 500016593 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
39 11.12.2018 500016439 AGITATOR MIXING TK A Pompa 90 54 45 Class I (0-15 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
40 11.12.2018 500016594 Motor 2.2 90 59 57 390 0.9 10 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
41 11.12.2018 500016440 AGITATOR MIXING TK B Gearbox 90 55 44 Class I (0-15 kW) 3N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
42 11.12.2018 500016595 Motor 2.2 90 58 54 390 0.9 10 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
43 11.12.2018 500016441 AGITATOR BUFFER TANKK Gearbox 90 48 47 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
44 11.12.2018 500016596 Motor 2.2 90 40 48 390 0.8 10 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
45 11.12.2018 500016442 AGITATOR REMELT TANKK Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
46 11.12.2018 500016597 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
47 11.12.2018 500016445 HIGH PRESSURE PUMP Pompa 90 51 52 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 30 10 10 10 30 10 20 20 140
48 11.12.2018 500016610 Motor 37 90 42 38 398 27.6 60 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
49 11.12.2018 500016446 AMONIA COMPRESSOR COMP 90 47 55 Class II (15-75 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 40 30 10 20 20 170
50 11.12.2018 500016672 Motor 37 90 41 40 390 7 8 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
51 11.12.2018 500016447 AMONIA CONDENSER/BAC BLOWER 90 31 30 Class II (15-75 kW) 2.7 N 80 No Leakage Marking Complete 30 10 10 20 10 20 20 120
52 11.12.2018 500016673 Motor 22 90 56 53 390 26.1 35 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
53 11.12.2018 500016598 CHILLING UNIT A-PERFECTOR Gearbox 90 66 65 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
54 11.12.2018 500016599 Motor 11 90 51 45 390 18 50 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
55 11.12.2018 500016600 CHILLING UNIT B-PERFECTOR Gearbox 90 61 62 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
56 11.12.2018 500016601 Motor 11 90 47 44 390 22 63 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 10 20 20 20 120
57 11.12.2018 500016602 CHILLING UNIT C-PERFECTOR Gearbox 90 60 59 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
58 11.12.2018 500016603 Motor 11 90 46 45 390 21.8 63 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 30 10 10 10 20 20 20 120
59 11.12.2018 500016604 WORKING UNIT A-PIN MESIN Gearbox 90 59 58 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
60 11.12.2018 500016605 Motor 18.5 90 45 42 390 6.7 40 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
61 11.12.2018 500016606 WORKING UNIT B-PIN MESIN Gearbox 90 60 59 Class II (15-75 kW) 1.9 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
62 11.12.2018 500016607 Motor 18.5 90 44 40 390 6.7 40 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 11.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PRODUKSI UGS 9 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
63 11.12.2018 500016608 WORKING UNIT C-PIN MESIN Gearbox 90 65 55 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
64 11.12.2018 500016609 Motor 18.5 90 44 39 390 6.6 40 Class II (15-75 kW) 3.8 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
TOTAL ###
47

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE CHILLER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1

TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 13.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE FILLING VOTATOR

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
LINE VOTATOR MACHINE
1 13.12.2018 500010902 Conveyor 1 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 13.12.2018 500010903 Motor: ALLIANCE;______KW Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 13.12.2018 500008038 Conveyor 2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 13.12.2018 500008039 Motor: ALLIANCE;______KW Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 13.12.2018 500008045 Conveyor 3 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 13.12.2018 500008046 Motor: ALLIANCE;______KW Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 13.12.2018 500004388 Conveyor 4 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 13.12.2018 500008105 Motor: ALLIANCE;______KW Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 13.12.2018 500008047 MotorAtas Karton sealler 4 Lu Yang Machine : 1/5 HP Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
10 13.12.2018 500008048 MotorBawah Karton sealler 4 Lu Yang Machine : 1/5 HP Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE BUATO
11 13.12.2018 500004413 Conveyor Line Buato I Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 13.12.2018 500010904 Motor:______________;___Kw Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 13.12.2018 500008109 DOSER BUATO I Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 13.12.2018 500008110 BOARD WRAPPING ROLL BUATO I Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
15 13.12.2018 500008111 WRAPPING ROLL BUATO I Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 13.12.2018 500008112 HEATER HORISONTAL BUATO I Gear Box Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
17 13.12.2018 500008113 HEATER VERTICAL BUATO I Gear Box Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 13.12.2018 500008114 SEALING JAWS BUATO I Gear Box Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
19 13.12.2018 500004414 Conveyor Line Buato II Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 13.12.2018 500010905 Motor:______________;___Kw Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 13.12.2018 500008115 DOSER BUATO II Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 13.12.2018 500008116 BOARD WRAPPING ROLL BUATO II Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
23 13.12.2018 500008117 WRAPPING ROLL BUATO II Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
LINE BENHIL (BENZ & HILGER)
24 13.12.2018 500008122 MAIN GEAR BOX BENHILL Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 13.12.2018 500008123 GEAR BOX CONVEYOR BENHILL Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 13.12.2018 500010901 Motor:______________;___Kw Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 13.12.2018 500008124 CONVEYOR MESIN KALENG Gear Box 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 13.12.2018 500008125 Motor:______________;___Kw Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
UNIT : SURABAYA
DATE : 14.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE FILLING SCHRODER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 14.12.2018 500008030 Motor1 Mesin 2 Karton Motor: VECTOR ; 0,18 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
2 14.12.2018 500008031 Mesin 2 Karton Motor2Motor: VECTOR ; 0,18 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 14.12.2018 500008032 Mesin 2 Karton Motor3Motor: VECTOR ; 0,25 KW Motor 0.25 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
4 14.12.2018 500008033 Motor1 Mesin OK Plastik ABB Motor; 0,25 KW Motor 0.25 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 14.12.2018 500008034 Motor2Mesin OK Plastik (BLOWER) ABB Motor; 0,18 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
6 14.12.2018 500010907 Conveyor Mesin OK Plastik Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
7 14.12.2018 500010908 ROSSI MOTORIDUTTORI:0,25 KW Motor 0.25 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
8 14.12.2018 500008036 Motor1 conveyor Mesin filling 2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
9 14.12.2018 500010906 Motor: Brush ; 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
10 14.12.2018 500012147 Motor2 conveyor Mesin filling 2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
11 14.12.2018 500004395 Motor: Broko ; 0,4 KW Motor 0.4 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
12 14.12.2018 500014148 Motor3 Conveyor Mesin filling 2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
13 14.12.2018 500004397 Motor: Brush ; 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
14 14.12.2018 500004399 Conveyor 4 Mesin filling 2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
15 14.12.2018 500012149 Motor: Broko ; 0,4 KW Motor 0.4 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
16 14.12.2018 500012150 Motor1 conveyor Mesin Top Seal2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
17 14.12.2018 500008040 Brook Crompton: 1,37 Kw Motor 1.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
18 14.12.2018 500012151 Motor2 conveyor Mesin Top Seal2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
19 14.12.2018 500008041 Marelli Motor: 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
20 14.12.2018 500012152 Motor3 conveyor Mesin Top Seal2 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
21 14.12.2018 500008042 Marelli Motor: 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
22 14.12.2018 500008043 MotorAtas Mesin Karton sealler 3 Lu Yang Machine : 1/5 HP Motor 0.15 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 14.12.2018 500008044 MotorBawah Karton sealler 3 Lu Yang Machine : 1/5 HP Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 14.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE FILLING GA

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 14.12.2018 500008014 Motor1 Mesin 2 Karton Motor: VECTOR ; 0,18 KW Motor 0.18 95 38 39 220 0.9 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
2 14.12.2018 500008015 Mesin 2 Karton Motor2 Motor: VECTOR ; 0,18 KW Motor 0.18 95 36 35 220 0.9 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
3 14.12.2018 500008016 Mesin 2 Karton Motor3 Motor: VECTOR ; 0,25 KW Motor 0.18 95 40 39 220 0.7 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
4 14.12.2018 500008017 Motor1 Mesin OK Plastik ABB Motor; 0,25 KW Motor 0.25 95 34 3 220 0.9 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 0 10 10 45
5 14.12.2018 500008018 Motor2 OK Plastik (BLOWER) ABB Motor; 0,18 KW Motor 0.18 95 34 30 220 0.8 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 0 10 10 45
6 14.12.2018 500008019 Motor3 Mesin OK Plastik Motor:______________,___kw Motor 0.15 95 32 33 220 0.9 Class I (0-15 kW) 3.3 N 80 No Leakage Marking Complete 15 5 5 0 5 10 10 50
7 14.12.2018 500012087 Conveyor Mesin OK Plastik Gearbox 95 37 36 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
8 14.12.2018 500012088 Motor:_____________,___KW Motor 0.4 95 43 39 Class I (0-15 kW) 4.5 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
9 14.12.2018 500004383 conveyor 1 Mesin filling Gearbox 95 30 31 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
10 14.12.2018 500008020 Motor: Brush ; 0,37 KW Motor 0.37 95 37 36 390 0.8 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
11 14.12.2018 500004384 conveyor 2 Mesin filling Gearbox 95 39 38 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
12 14.12.2018 500008021 Motor: Brush ; 0,37 KW Motor 0.37 95 48 39 390 0.9 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 0 5 10 10 50
13 14.12.2018 500012146 Conveyor 3 Mesin filling Gearbox 95 31 30 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
14 14.12.2018 500008022 Motor: Broko ; 0,4 KW Motor 0.4 95 32 31 390 0.6 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
15 14.12.2018 500012089 Conveyor 4 Gearbox 95 57 58 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
16 14.12.2018 500012090 Motor: ___________,___Kw Motor 0.37 95 59 53 390 0.7 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 5 10 10 10 60
17 14.12.2018 500004386 Belt Conveyor timbangan Gearbox 95 37 38 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
18 14.12.2018 500010909 Motor: Rotor; 0,37 KW Motor 0.37 95 46 41 390 0.5 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
19 14.12.2018 500012143 Motor1 Mesin Top Seal 1 Gearbox 95 38 41 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
20 14.12.2018 500004380 Brook Cromton; 1,37 KW Motor 1.37 95 52 49 390 0.6 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
21 14.12.2018 500012144 Motor2 Mesin Top Seal 1 Gearbox 95 41 40 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
22 14.12.2018 500004381 Motor:______________,0,37KW Motor 0.37 95 44 42 390 0.5 Class I (0-15 kW) N 80 No Leakage Marking Complete 15 5 5 15 10 10 60
23 14.12.2018 500008107 Motor3 Mesin Top Seal 1 Gearbox 95 42 41 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
24 14.12.2018 500012145 Marelli Motor: 0,37 KW Motor 0.37 95 41 38 390 0.5 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
25 14.12.2018 500008028 MotorAtas Karton sealler 1 Lu Yang Machine : 1/5 HP Motor 0.15 95 39 35 220 0.4 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
26 14.12.2018 500008029 MotorBawah Karton sealler 1 Lu Yang Machine : 1/5 HP Motor 0.15 95 40 39 220 0.4 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 14.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE FILLING CHEMTECH

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 14.12.2018 500011068 Motor1 Mesin 2 Karton Motor: VECTOR ; 0,18 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
2 14.12.2018 500011069 Mesin 2 Karton Motor2 Motor: VECTOR ; 0,18 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 14.12.2018 500011070 Mesin 2 Karton Motor3 Motor: VECTOR ; 0,25 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
4 14.12.2018 500010933 Motor1 Mesin OK Plastik SEW EURODRIVE; 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Motor2Mesin OK Plastik (BLOWER)
5 14.12.2018 500012086 Motor 0.15 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Motor:______________,_____Kw
Motor3 Mesin OK Plastik
6 14.12.2018 500010934 Motor 3 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
EFFOPIZELLA :3 KW
7 14.12.2018 500012134 Conveyor 1 Mesin OK Plastik Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 14.12.2018 500011066 SEW EURODRIVE; 0,18 KW Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 14.12.2018 500012135 Conveyor 1 Mesin Filling Chemtech Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
10 14.12.2018 500011072 BRANCO MOTOR; 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 14.12.2018 500012136 Conveyor 2 Mesin Filling Chemtech Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 14.12.2018 500011073 BRANCO MOTOR; 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 14.12.2018 500012137 Conveyor 3 Mesin Filling Chemtech Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 14.12.2018 500011074 BRANCO MOTOR; 0,37 KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 14.12.2018 500012138 Conveyor 5 Auto Weigher Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 14.12.2018 500011076 Motor: STM,______Kw Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 14.12.2018 500012139 Conveyor 1 Mesin Top Seal Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 14.12.2018 500008103 SEW EURODRIVE; _______ KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 14.12.2018 500012140 Conveyor 2 Mesin Top Seal Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 14.12.2018 500011065 SEW EURODRIVE; _______ KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 14.12.2018 500012141 Conveyor 3 Mesin Top Seal Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 14.12.2018 500010928 SEW EURODRIVE; _______ KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 14.12.2018 500012142 MotorConveyor Carton Sealer 9 Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 14.12.2018 500010930 SEW EURODRIVE; _______ KW Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 13.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PACKING LINE 6 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 13.12.2018 500016544 Motor1 Carton Erector Machine Motor1 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 13.12.2018 500016545 Motor2 Carton Erector Machine Motor2 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
3 13.12.2018 500016546 Motor3 Carton Erector Machine Motor3 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
4 13.12.2018 500016548 Conveyor Mesin Plastik Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
5 13.12.2018 500016549 Motor 0.4 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
6 13.12.2018 500016556 Conveyor 2 Mesin Filling Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
7 13.12.2018 500016557 Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
8 13.12.2018 500016558 Conveyor 3 Mesin Filling Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
9 13.12.2018 500016559 Motor 0.18 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
10 13.12.2018 500016560 Conveyor 1 Mesin Top Seal Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
11 13.12.2018 500016561 Motor 0.4 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
12 13.12.2018 500016562 Conveyor 2 Mesin Top Seal Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
13 13.12.2018 500016563 Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
14 13.12.2018 500016564 Conveyor 3 Mesin Top Seal Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
15 13.12.2018 500016565 Motor 0.4 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
16 13.12.2018 500016566 Motor1 Carton Sealer Motor1 0.13 95 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
17 13.12.2018 500016567 Motor2 Carton Sealer Motor2 0.13 95 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
18 13.12.2018 500016568 Conveyor 1 Metal Detector Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
19 13.12.2018 500016569 Motor 0.4 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
20 13.12.2018 500016570 Conveyor 2 Metal Detector Gearbox 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
21 13.12.2018 500016571 Motor 0.37 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categor
Critical
UNIT : SURABAYA Non Crit
DATE : 13.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PACKING LINE UGS 9 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 13.12.2018 500016611 Motor1 Carton Erector Machine Motor1 0.37 95 39 36 220 0.3 Class I (0-15 kW) 4.3 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
2 13.12.2018 500016612 Motor2 Carton Erector Machine Motor2 0.37 95 38 37 220 0.4 Class I (0-15 kW) 4.9 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
3 13.12.2018 500016613 Motor3 Carton Erector Machine Motor3 0.37 95 39 41 220 0.3 Class I (0-15 kW) 4.8 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
4 13.12.2018 500016614 Conveyor Mesin Plastik Gearbox 95 50 52 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
5 13.12.2018 500016615 Motor 0.4 95 58 51 220 0.4 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
6 13.12.2018 500016616 Motor1 Plastic Inserter Machine Motor1 0.8 95 34 33 220 0.2 Class I (0-15 kW) N 80 No Leakage Marking Complete 30 10 10 10 20 20 100
7 13.12.2018 500016617 Motor2 Plastic Inserter Machine Motor2 0.8 95 32 31 220 0.3 Class I (0-15 kW) 4.4 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
8 13.12.2018 500016618 Conveyor 1 Mesin Filling Gearbox 95 45 47 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
9 13.12.2018 500016619 Motor 0.4 95 51 50 220 0.3 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
10 13.12.2018 500016620 Blower Blower 95 30 29 Class I (0-15 kW) 3.2 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
11 13.12.2018 500016621 Motor 0.7 95 38 39 220 0.4 Class I (0-15 kW) 5.5 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
12 13.12.2018 500016622 Conveyor 2 Mesin Filling Gearbox 95 42 43 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
13 13.12.2018 500016623 Motor 0.18 95 44 40 390 0.5 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 30 10 10 0 20 20 20 110
14 13.12.2018 500016624 Conveyor 3 Mesin Filling Gearbox 95 42 41 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
15 13.12.2018 500016625 Motor 0.18 95 43 36 390 0.5 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 0 20 20 20 110
16 13.12.2018 500016626 Conveyor 1 Mesin Top Seal Gearbox 95 53 55 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
17 13.12.2018 500016627 Motor 0.4 95 60 56 390 0.4 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
18 13.12.2018 500016628 Conveyor 2 Mesin Top Seal Gearbox 95 38 37 Class I (0-15 kW) 4.2 N 80 No Leakage Marking Complete 30 10 10 10 30 10 20 20 140
19 13.12.2018 500016629 Motor 0.37 95 42 41 390 0.9 Class I (0-15 kW) 4.4 N 80 No Leakage Marking Complete 30 10 10 0 10 20 20 100
20 13.12.2018 500016630 Conveyor 3 Mesin Top Seal Gearbox 95 54 45 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
21 13.12.2018 500016631 Motor 0.4 95 58 56 390 0.5 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
22 13.12.2018 500016636 Motor1 Carton Sealer Motor1 0.13 95 44 43 220 0.3 Class I (0-15 kW) 3.4 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
23 13.12.2018 500016637 Motor2 Carton Sealer Motor2 0.13 95 43 45 220 0.3 Class I (0-15 kW) 3.8 N 80 No Leakage Marking Complete 30 10 10 10 10 20 20 110
24 13.12.2018 500016638 Conveyor 1 Metal Detector Gearbox 95 50 51 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
25 13.12.2018 500016639 Motor 0.4 95 57 47 220 0.3 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
26 13.12.2018 500016640 Conveyor 2 Metal Detector Gearbox 95 39 38 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
27 13.12.2018 500016641 Motor 0.37 95 35 32 220 0.9 Class I (0-15 kW) 2.9 N 80 No Leakage Marking Complete 30 10 10 0 10 20 20 100
28 13.12.2018 500016642 Conveyor 1 Mesin Filling 2 Gearbox 95 35 38 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 30 10 10 10 30 10 20 20 140
29 13.12.2018 500016643 Motor 0.7 95 42 38 220 0.8 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 30 10 10 30 20 20 20 140
30 13.12.2018 500016644 Conveyor 2 Mesin Filling 2 Gearbox 95 49 50 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
31 13.12.2018 500016645 Motor 0.18 95 46 54 220 0.8 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 30 10 10 0 20 20 20 110
32 13.12.2018 500016646 Conveyor 3 Mesin Filling 2 Gearbox 95 40 41 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
33 13.12.2018 500016647 Motor 0.18 95 43 32 220 0.4 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 30 10 10 0 20 20 20 110
34 13.12.2018 500016648 Conveyor 4 Mesin Filling 2 Gearbox 95 44 43 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
35 13.12.2018 500016649 Motor 0.37 95 45 35 220 0.4 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
36 13.12.2018 500016650 Conveyor 1 Mesin Top Seal 2 Gearbox 95 53 55 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
37 13.12.2018 500016651 Motor 0.4 95 58 57 220 0.3 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
38 13.12.2018 500016652 Conveyor 2 Mesin Top Seal 2 Gearbox 0.37 95 38 35 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
39 13.12.2018 500016653 Motor 95 43 34 220 0.4 Class I (0-15 kW) 5.6 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
40 13.12.2018 500016654 Conveyor 3 Mesin Top Seal 2 Gearbox 95 34 49 Class I (0-15 kW) 3.5 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
41 13.12.2018 500016655 Motor 0.4 95 54 56 390 0.4 Class I (0-15 kW) 3.6 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
42 13.12.2018 500016656 Motor1 Carton Sealer Motor1 0.13 95 43 42 220 0.4 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
43 13.12.2018 500016657 Motor2 Carton Sealer Motor2 0.13 95 42 41 220 0.4 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
44 13.12.2018 500016658 Conveyor 1 Metal Detector Gearbox 95 49 50 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
45 13.12.2018 500016659 Motor 0.4 95 55 50 220 0.5 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
46 13.12.2018 500016660 Conveyor 2 Metal Detector Gearbox 95 41 42 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
47 13.12.2018 500016661 Motor 0.37 95 32 37 220 0.8 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
Categor
Critical
UNIT : SURABAYA Non Crit
DATE : 13.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE PACKING LINE UGS 9 TON

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 21.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : TANKI INTERMEDIATE FILLING- TK 100 TON- PHE

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 21.12.2018 500014298 TANKI 100 TON KMCP Pompa 90 48 46 Class II (15-75 kW) 3.6 N 80 Leakage Marking Complete 30 10 10 20 30 2 20 20 142
2 21.12.2018 500014299 Motor 30 90 56 49 390 Class II (15-75 kW) 4.6 N 80 No Leakage Marking Complete 30 10 10 10 20 20 100
3 21.12.2018 500014300 TANKI 100 TON FMCP Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
4 21.12.2018 500014301 Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
TANKI INTERMEDIATE
5 21.12.2018 500014302 POMPA INTERMEDIATE PORAM Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 21.12.2018 500014303 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 21.12.2018 500014304 POMPA INTERMEDIATE PORAM Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 21.12.2018 500014305 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 21.12.2018 500014306 POMPA INTERMEDIATE KMCP Pompa 90 29 29 100 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
10 21.12.2018 500014307 Motor 11 90 33 32 390 7.5 9 100 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
11 21.12.2018 500014308 POMPA INTERMEDIATE FMCP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 21.12.2018 500014309 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
PHE
13 21.12.2018 500014288 POMPA PHE KMCP Pompa 90 57 50 50 Class I (0-15 kW) 5N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
14 21.12.2018 500014289 Motor 5.5 90 51 42 390 6.8 8.5 50 Class I (0-15 kW) 15.2 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 15 1 10 10 61
15 21.12.2018 500014290 POMPA PHE SEMI CONSUMER Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 21.12.2018 500014291 Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 21.12.2018 500014292 POMPA PHE FMCP FILMA Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 21.12.2018 500014293 Motor 5.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 21.12.2018 500014294 POMPA PHE PORAM BULK Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 21.12.2018 500014295 Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 21.12.2018 500014296 POMPA SIRKULASI Pompa 90 37 41 60 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
22 21.12.2018 500014297 Motor 4.6 90 48 40 390 4.5 9 60 Class I (0-15 kW) 1N 80 No Leakage Marking Complete 15 5 5 15 20 10 10 80
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 21.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : COOLING TOWER FILLING CHIYODA

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 21.12.2018 500014343 Transfer Pompa Ke IM Plant Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 21.12.2018 500014344 Motor: 30 KW, ELECTRIM Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
3 21.12.2018 500014319 Transfer Pompa Condenser Chiller 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
4 21.12.2018 500014320 Motor: Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
5 21.12.2018 500014321 Transfer Pompa Condenser Chiller 2 Pompa 90 47 46 50 Class II (15-75 kW) 4.7 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
6 21.12.2018 500014322 Motor: 30 kw, TECO Motor 30 90 50 37 398 18.5 30 50 Class II (15-75 kW) 6.9 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
7 21.12.2018 500014323 Transfer Pompa Condenser Chiller 3 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 21.12.2018 500014324 Motor: 30 KW, MEZ Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
9 21.12.2018 500014325 Transfer Pompa Evaporator Chiller 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 21.12.2018 500014326 Motor: 30 KW,SIEMENS Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
11 21.12.2018 500014335 Transfer Pompa Evaporator Chiller 2 Pompa 90 42 47 50 Class II (15-75 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
12 21.12.2018 500014336 Motor: 30 KW,SIEMENS Motor 30 90 63 48 398 22.5 48 50 Class II (15-75 kW) 3.3 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
13 21.12.2018 500014335 Transfer Pompa Evaporator Chiller 3 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 21.12.2018 500014336 Motor: 30 KW,SIEMENS Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
15 21.12.2018 500014331 Transfer Pompa Ke AHU 1 Pompa 90 38 44 60 Class II (15-75 kW) 4.8 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
16 21.12.2018 500014332 Motor: 18,5 KW,SIEMENS Motor 18.5 90 90 50 398 19.5 21 60 Class II (15-75 kW) 6N 80 No Leakage Marking Complete 15 3 5 15 5 10 10 63
17 21.12.2018 500014333 Transfer Pompa Ke AHU 2 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 21.12.2018 500014334 Motor: 18,5 KW,SIEMENS Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
19 21.12.2018 500014335 Transfer Pompa Ke AHU 3 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
20 21.12.2018 500014336 Motor: 18,5 KW,SIEMENS Motor 18.5 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
21 21.12.2018 500014337 Transfer Pompa Ke PHE 1 Pompa 90 51 53 100 Class II (15-75 kW) 4.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
22 21.12.2018 500014338 Motor: 11 KW, MEZ Motor 11 90 53 40 398 17.1 23 100 Class II (15-75 kW) 7.8 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 15 5 10 10 65
23 21.12.2018 500014339 Transfer Pompa Ke PHE 2 Pompa 90 33 38 100 Class II (15-75 kW) 5.1 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
24 21.12.2018 500014340 Motor: 15 KW , TECO Motor 15 90 43 35 398 9.2 23 100 Class II (15-75 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
25 21.12.2018 500014341 Transfer Pompa Ke PHE 3 Pompa 90 52 55 100 Class II (15-75 kW) 6.8 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
26 21.12.2018 500014342 Motor: 11 KW,............ Motor 11 90 55 38 398 7.8 12 100 Class II (15-75 kW) 7.4 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 15 5 10 10 65
27 21.12.2018 500015622 Cooling Tower Utara CT 90 33 35 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 10 10 20 20 100
28 21.12.2018 500015623 Motor 11 90 49 45 398 14.7 15 Class II (15-75 kW) 5.3 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
29 21.12.2018 500015624 Cooling Tower Selatan CT 90 41 34 Class II (15-75 kW) 80 No Leakage Marking Complete 30 10 10 10 20 20 100
30 21.12.2018 500015625 Motor 11 90 62 64 398 14.8 30 Class II (15-75 kW) 4.9 N 80 No Leakage Marking Complete 30 10 10 30 10 20 20 130
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 19.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT I

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 19.12.2018 500014407 Chute Conveyor Pouch Thimmnonier Mesin 90 25 24 Class I (0-15 kW) 0.9 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
2 19.12.2018 500014403 Chute Conveyor Pouch Thimmnonier Motor 0.18 90 30 29 220 0.4 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
LINE: THIMONIER 1 / Filler pouch
3 19.12.2018 500011145 Motor1 Mesin Karton Bottom Motor 0.09 90 38 39 220 0.4 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
4 19.12.2018 500011146 Motor2 Mesin Karton Bottom Motor 0.09 90 39 41 220 0.4 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 0 5 10 10 50
5 19.12.2018 500011152 Main Gearbox Thimonnier1 Gearbox 90 29 28 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
6 19.12.2018 500011147 Reducer GearBox Thimonnier1 Gearbox 90 41 45 Class I (0-15 kW) 1N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
7 19.12.2018 500007891 MotorGearbox Thimonier Motor 1.1 90 33 32 380 2.6 Class I (0-15 kW) 3.5 N 80 No Leakage Marking Complete 5 5 0 5 10 10 35
8 19.12.2018 500004289 Motor1 Loader Conveyor Motor 0.18 90 21 20 220 0.3 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
9 19.12.2018 500007893 Motor2 Loader Conveyor Motor 0.18 90 20 19 220 0.3 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
10 19.12.2018 500004291 Table Top chain Gearbox 0.75 90 38 39 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
11 19.12.2018 500007894 MotorTable Top Chain Motor 0.37 90 44 47 380 2.2 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
12 19.12.2018 500007900 Motor1 Karton Sealer Upper Motor 0.15 90 60 54 220 0.3 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 5 10 10 10 60
13 19.12.2018 500007914 Motor2 Karton Sealer Upper Motor 0.15 90 60 59 220 0.3 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 5 10 10 10 60
14 19.12.2018 500004316 Belt Conveyor Gearbox 90 40 41 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
15 19.12.2018 500007912 MotorBelt Conveyor Motor 0.75 90 45 41 380 2.5 10 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 0 10 10 10 55
16 19.12.2018 500015769 Chute Conveyor Karton conveyor 90 37 36 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
17 19.12.2018 500016078 MotorChute Conveyor Karton Motor 0.18 90 39 35 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
LINE: THIMONIER 2 / Filler pouch
18 19.12.2018 500011149 Motor1 Mesin Karton Bottom Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 19.12.2018 500011150 Motor2 Mesin Karton Bottom Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
20 19.12.2018 500007895 Main Gearbox Thimonier 2 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
21 19.12.2018 500011153 Reducer Gear Box Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 19.12.2018 500011154 MotorGearbox Thimonier Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 19.12.2018 500004294 Motor1 Loader Conveyor Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
24 19.12.2018 500007897 Motor2 Loader Conveyor Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 19.12.2018 500004296 Table Top chain Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 19.12.2018 500007898 MotorTable Top Chain Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 19.12.2018 500007879 Motor1 Karton Sealer Upper Motor 0.15 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
28 19.12.2018 500011156 Motor2 Karton Sealer Upper Motor 0.15 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 19.12.2018 500004308 Belt Conveyor Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
30 19.12.2018 500007907 MotorBelt Conveyor Motor 0.75 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 19.12.2018 500015770 Chute Conveyor Karton conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
32 19.12.2018 500016079 MotorChute Conveyor Karton Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE: THIMONIER 3 / Filler pouch
33 19.12.2018 500011158 Motor1 Mesin Karton Bottom Motor 90 39 41 220 0.4 Class I (0-15 kW) 3N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
34 19.12.2018 500011159 Motor2 Mesin Karton Bottom Motor 90 41 40 220 0.4 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
35 19.12.2018 500011160 main Gear Box Thimmonier 3 Gearbox 90 28 26 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
36 19.12.2018 500011161 Reducer Gear Box Gearbox 90 38 37 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
37 19.12.2018 500011162 MotorGearbox Thimonier Motor 90 41 37 380 3.1 Class I (0-15 kW) 3.8 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
38 19.12.2018 500011164 Motor1 Loader Conveyor Motor 90 21 22 220 0.3 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
39 19.12.2018 Motor2 Loader Conveyor Motor 90 24 23 220 0.3 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
40 19.12.2018 500004317 Gearbox Table Top chain Gearbox 90 35 36 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
41 19.12.2018 500011165 MotorGearbox Table Top chain Motor 90 39 38 380 2.1 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
42 19.12.2018 500011166 Motor1 Karton Sealer Motor 90 36 37 220 0.4 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
43 19.12.2018 500011167 Motor2 Karton Sealer Motor 90 49 50 220 0.4 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
44 19.12.2018 500004315 Belt conveyor Gearbox 90 35 38 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
45 19.12.2018 500007911 MotorGearbox Belt conveyor Motor 90 37 36 380 1.6 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
46 19.12.2018 500015771 Chute Conveyor Karton conveyor 90 39 34 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
47 19.12.2018 500016080 MotorChute Conveyor Karton Motor 90 44 35 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
LINE: THIMONIER 4 / Filler pouch
48 19.12.2018 500011169 Motor1 Mesin Karton Bottom Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
49 19.12.2018 500011170 Motor2 Mesin Karton Bottom Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
50 19.12.2018 500011172 Main Gear Box Mesin Filling 4 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
51 19.12.2018 Reducer Gear Box Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
52 19.12.2018 MotorGearbox Thimonier Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
53 19.12.2018 500004328 Motor1 Loader Conveyor Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
54 19.12.2018 500007920 Motor2 Loader Conveyor Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
55 19.12.2018 500011175 Gearbox Table Top chain Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
56 19.12.2018 500011176 MotorGearbox Table Top chain Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
57 19.12.2018 500011178 Motor1 Karton Sealer Motor 0.15 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 19.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT I

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
58 19.12.2018 500011179 Motor2 Karton Sealer Motor 0.15 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
59 19.12.2018 500004327 Belt conveyor Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
60 19.12.2018 500007919 MotorGearbox Belt conveyor Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
61 19.12.2018 500015772 Chute Conveyor Karton conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
62 19.12.2018 500016081 MotorChute Conveyor Karton Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE: THIMONIER 5 / Filler pouch
63 19.12.2018 Motor1 Mesin Karton Bottom Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
64 19.12.2018 Motor2 Mesin Karton Bottom Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
65 19.12.2018 main Gear Box Thimmonier 5 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
66 19.12.2018 Reducer Gear Box Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
67 19.12.2018 500014316 MotorGearbox Thimonier Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
68 19.12.2018 500014311 MotorLoader1 thim 5 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
69 19.12.2018 500014312 MotorLoader 2 thim 5 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
70 19.12.2018 Gearbox Table Top chain Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
71 19.12.2018 MotorGearbox Table Top chain Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
72 19.12.2018 Motor1 Karton Sealer Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
73 19.12.2018 Motor2 Karton Sealer Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
74 19.12.2018 500015833 Belt Conveyor GearBox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
75 19.12.2018 500015834 MotorBelt Conveyor Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
76 19.12.2018 500015773 Chute Conveyor Karton conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
77 19.12.2018 500016082 MotorChute Conveyor Karton Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE: THIMONIER 6/ Filler pouch
78 19.12.2018 Motor1 Mesin Karton Bottom Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
79 19.12.2018 Motor2 Mesin Karton Bottom Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
80 19.12.2018 main Gear Box Thimmonier 6 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
81 19.12.2018 Reducer Gear Box Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
82 19.12.2018 500014318 MotorGearbox thimmonier 6 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
83 19.12.2018 500014346 MotorLoader 1 Thim 6 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
84 19.12.2018 500014347 MotorLoader 2 Thim 6 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
85 19.12.2018 500018596 Gearbox Table Top chain Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
86 19.12.2018 500018597 MotorGearbox Table Top chain Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
87 19.12.2018 Motor1 Karton Sealer Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
88 19.12.2018 Motor2 Karton Sealer Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
89 19.12.2018 500015835 Belt Conveyor GearBox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
90 19.12.2018 500015836 MotorBelt Conveyor Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
91 19.12.2018 500015774 Chute Conveyor Karton conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
92 19.12.2018 500016083 MotorChute Conveyor Karton Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 19.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT I

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 20.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT II

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
LINE : SERAC MACHINE
1 20.12.2018 500017487 KARTON SEALER BOTTOM (CHUAN AN) Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 20.12.2018 500017488 Motor1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
3 20.12.2018 500014409 CHUTE CONVEYOR KARTON Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 20.12.2018 500014405 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 20.12.2018 500017483 BELT CONVEYOR MENUJU UNSCRAMBLE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 20.12.2018 500017484 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 20.12.2018 500017482 UNSCRAMBLE MACHINE (POSIMAT) Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
8 20.12.2018 500014408 CHUTE CONVEYOR BOTOL SERAC Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
9 20.12.2018 500014404 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
10 20.12.2018 500017486 RINSER MACHINE (EVOLUTION) Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 20.12.2018 500014406 CHAIN CONVEYOR RINSER MACHINE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 20.12.2018 500014410 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 20.12.2018 500014411 CHAIN CONVEYOR FILLER MACHINE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 20.12.2018 500014412 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 20.12.2018 500015776 FILLING MACHINE(SERAC) Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
16 20.12.2018 500014419 CAPPER MACHINE (LINA PACK) Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
17 20.12.2018 500014420 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
18 20.12.2018 500014415 CHAIN CONVEYOR CAPPER MACHINE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
19 20.12.2018 500014416 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
20 20.12.2018 500014423 CHAIN CONVEYOR ANTARA CAPPER-LABEL MACHINE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
21 20.12.2018 500014424 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
22 20.12.2018 500014425 CHAIN CONVEYOR 1 LABELLER MACHINE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
23 20.12.2018 500014426 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
24 20.12.2018 500015778 LABELLER MACHINE (UNIVERSAL) Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 20.12.2018 500014427 CHAIN CONVEYOR 2 LABELLER MACHINE Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 20.12.2018 500014428 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 20.12.2018 500014429 CHAIN CONVEYOR 1 MENUJU KARTON Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 20.12.2018 500014430 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 20.12.2018 500014431 CHAIN CONVEYOR 2 MENUJU KARTON Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
30 20.12.2018 500014432 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 20.12.2018 500014433 CHAIN CONVEYOR 3 MENUJU KARTON Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
32 20.12.2018 500014434 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
33 20.12.2018 500014435 BELT CONVEYOR HYPONIC DRIVE (DIVIDER BOTOL) Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
34 20.12.2018 500014436 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
35 20.12.2018 500017489 PENDORONG KARTON Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
36 20.12.2018 500017490 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
37 20.12.2018 500017491 KARTON SEALER UPPER SERAC Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
38 20.12.2018 500017492 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
39 20.12.2018 500017497 ROLL CONVEYOR KARTON TO PALLETIZER Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
40 20.12.2018 500017498 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
41 20.12.2018 500017499 ROLL CONVEYOR TEMPAT PALET MESIN PALLETIZER Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
42 20.12.2018 500017500 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
43 20.12.2018 500017501 CHAIN CONVEYOR BARAT (PALET) MESIN PALLETIZER Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
44 20.12.2018 500017502 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
45 20.12.2018 500017503 CHAIN CONVEYOR TIMUR (PALET) MESIN PALLETIZER Gear Box 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
46 20.12.2018 500017504 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE :SIEM 2
47 20.12.2018 Chain Conveyor Atas SIEM 1 (Botol) Gearbox 90 28 30 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
48 20.12.2018 MotorChain Conveyor Atas Motor 90 35 32 220 2.4 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
49 20.12.2018 500015779 CHUTE CONVEYOR BOTOL SIEM 1 conveyor 90 23 22 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
50 20.12.2018 500016209 MotorCHUTE CONVEYOR BOTOL Motor 90 28 27 380 1.3 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
51 20.12.2018 500011141 MotorVacuum Blower Motor 90 38 34 380 2.3 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
52 20.12.2018 500004306 MotorPump Transfer Motor 90 21 20 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
53 20.12.2018 500004303 Mesin Filling SIEM 1 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
54 20.12.2018 500004305 MotorSETUP/DOWN SIEM 1 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
55 20.12.2018 500007905 GEARBOX SIEM MACHINE 1 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
56 20.12.2018 500011140 MotorGearbox Filling SIEM 1 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
57 20.12.2018 500004304 Mesin labeling Gearbox 90 23 22 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
58 20.12.2018 500007906 MotorGearbox Mesin labeling Motor 90 25 24 380 1.1 Class I (0-15 kW) 1N 80 No Leakage Marking Complete 15 5 5 20 10 10 65
59 20.12.2018 500011142 Table top chain Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
60 20.12.2018 500011143 MotorGearbox Table top Chain Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
61 20.12.2018 Light Inspecting SIEM 1 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
62 20.12.2018 Print Code Alphajet SIEM 1 Print 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
63 20.12.2018 500015709 Karton Sealer Bottom SIEM 1 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 20.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT II

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
64 20.12.2018 500016208 Motor1 Karton Sealer Bottom SIEM 1 Motor 90 42 41 220 0.3 Class I (0-15 kW) 3.2 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
65 20.12.2018 Motor2 Karton Sealer Bottom SIEM 1 Motor 90 42 41 220 0.3 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
66 20.12.2018 500015780 CHUTE CONVEYOR KARTON SIEM 1 conveyor 90 28 27 Class I (0-15 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
67 20.12.2018 500016212 MotorCHUTE CONVEYOR KARTON MOTOR 90 32 31 380 1.9 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
68 20.12.2018 500015710 Karton Sealer Upper SIEM 1 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
69 20.12.2018 500016211 Motor1 Karton Sealer Upper SIEM 1 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
70 20.12.2018 Motor2 Karton Sealer Upper SIEM 1 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
71 20.12.2018 500015788 Belt Conveyor conveyor 90 35 37 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
72 20.12.2018 500016210 MotorBELT CONVEYOR SIEM 1 Motor 90 43 36 380 1.9 Class I (0-15 kW) 3.2 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
LINE :SIEM 1
73 20.12.2018 Chain Conveyor Atas SIEM 2 (Botol) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
74 20.12.2018 MotorChain Conveyor Atas SIEM 2 (Botol) Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
75 20.12.2018 500015781 CHUTE CONVEYOR BOTOL SIEM 2 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
76 20.12.2018 500016213 MotorCHUTE CONVEYOR BOTOL Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
77 20.12.2018 MotorVacuum Blower Motor 0.75 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
78 20.12.2018 500004313 VACUUM PP. SIEM 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
79 20.12.2018 500007909 MotorVACUUM PP. SIEM 2 Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
80 20.12.2018 500004309 SIEM MACHINE 2 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
81 20.12.2018 500004311 MotorCAPPING UP / DOWN SIEM 2 Motor 0.55 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
82 20.12.2018 500004312 MotorFILLING SETUP/DOWN SIEM 2 Motor 0.55 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
83 20.12.2018 500004310 GEARBOX SIEM MACHINE 2 gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
84 20.12.2018 500007908 MotorGEARBOX SIEM MACHINE 2 motor 0.75 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
85 20.12.2018 500004314 GEARBOX LABEL MACH. Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
86 20.12.2018 500007910 MotorGEARBOX LEBEL MACH 2 Motor 0.75 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
87 20.12.2018 500011138 Oil Pump Siem 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
88 20.12.2018 500011139 MotorOil Pump Siem 2 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
89 20.12.2018 500011131 Gear Box Conveyor Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
90 20.12.2018 500011132 MotorGearbox Conveyor Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
91 20.12.2018 Light Inspecting SIEM 1 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
92 20.12.2018 Print Code Alphajet SIEM 1 Print 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
93 20.12.2018 500015711 Karton Sealer Bottom Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
94 20.12.2018 500016214 Motor1 Karton Sealer Bottom SIEM 2 Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
95 20.12.2018 Motor2 Karton Sealer Bottom SIEM 2 Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
96 20.12.2018 500015782 Chute Conveyor Karton conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
97 20.12.2018 500016215 MotorCHUTE CONVEYOR KARTON Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
98 20.12.2018 Karton Sealer Bottom Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
99 20.12.2018 500011134 Motor1 Karton Sealer Upper Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
100 20.12.2018 500011135 Motor2 Karton Sealer Upper Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
101 20.12.2018 500011136 BELT CONVEYOR Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
102 20.12.2018 500011137 MotorBelt Conveyor Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE TAKARAN
103 20.12.2018 Table Top Chain Atas I Takaran Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
104 20.12.2018 MotorTable Top Chain Atas I Takaran Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
105 20.12.2018 500016463 Mesin Labeller Takaran Tak LABELLER 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
106 20.12.2018 Table Top Chain Atas II Takaran Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
107 20.12.2018 MotorTable Top Chain Atas II Tak Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
108 20.12.2018 500015783 CHUTE CONVEYOR JERICAN TAK conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
109 20.12.2018 500016514 MotorCHUTE CONVEYOR JRC TAK Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
110 20.12.2018 Chain Conveyor Depan Takaran(ganda) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
111 20.12.2018 MotorChain Conveyor Depan Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
112 20.12.2018 Belt Conveyor Depan I Takaran Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
113 20.12.2018 MotorBelt Conveyor Depan I Tak Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
114 20.12.2018 Belt Conveyor Depan II Takaran Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
115 20.12.2018 MotorBelt Conveyor Depan II Tak Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
116 20.12.2018 500011079 Karton Sealer Bottom Takaran MESIN 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
117 20.12.2018 500011080 Motor1 Karton Sealer Bottom Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
118 20.12.2018 500011081 Motor2 Karton Sealer Bottom Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
119 20.12.2018 500015784 CHUTE CONVEYOR KARTON TAK conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
120 20.12.2018 500016515 MotorCHUTE CONVEYOR KARTON Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
121 20.12.2018 Table Top Chain Belakang Takaran Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
122 20.12.2018 MotorTable Top Chain Belakang Tak Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE TAKARAN 1
123 20.12.2018 500011077 Mesin Takaran 6-1 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
124 20.12.2018 G.BOX CONVEYOR TABLE TOP CHAIN Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
125 20.12.2018 MotorGB CVY TABLE TOP CHAIN Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
126 20.12.2018 500004301 MESIN TUTUP JURIGEN 1 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
127 20.12.2018 500007903 MotorMESIN TUTUP JURIGEN 1 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
128 20.12.2018 500004300 G.BOX CONVEYOR TABLE TOP CHAIN Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 20.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT II

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
129 20.12.2018 500011078 MotorGB CVY TABLE TOP CHAIN Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
130 20.12.2018 Print Code Alphajet Takaran 6-1 Printer 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
131 20.12.2018 500011085 Karton Sealer Upper Takaran Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
132 20.12.2018 500011086 Motor1 Karton Sealer Upper Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
133 20.12.2018 500011087 Motor2 Karton Sealer Upper Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
134 20.12.2018 500011082 GEARBOX BELT CONVEYOR Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
135 20.12.2018 500011083 MotorGEARBOX BELT CONVEYOR Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
LINE TAKARAN 2
136 20.12.2018 500011084 MESIN FILLING TAKARAN 2 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
137 20.12.2018 500004298 Conveyor /TABLE TOP CHAIN Gearbox 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
138 20.12.2018 500007899 MotorTable Top Chain Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
139 20.12.2018 500004302 MESIN TUTUP JURIGEN 2 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
140 20.12.2018 500007904 MotorMESIN TUTUP JURIGEN 2 Motor 0.18 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
141 20.12.2018 Table Top Chain II Takaran 6-2 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
142 20.12.2018 MotorTable Top Chain II Takaran 6-2 Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
143 20.12.2018 Print Code Alphajet Takaran 6-2 Printer 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
144 20.12.2018 Karton Sealer Upper Takaran 6-2 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
145 20.12.2018 Motor1 Karton Sealer Upper Takaran 6-2 Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
146 20.12.2018 Motor2 Karton Sealer Upper Takaran 6-2 Motor 0.09 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
147 20.12.2018 500011088 GB BELT CONVEYOR Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
148 20.12.2018 500011089 MotorBelt Conveyor Motor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
149 20.12.2018 LINE : TIMBANGAN EMEC 16 NOZEL 90 15 15
150 20.12.2018 Table Top Chain Atas Luar Ruangan conveyor 0.37 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
151 20.12.2018 Chain Conveyor Atas I EMEC 16 Nozel conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
152 20.12.2018 Mesin Label Dua Sisi EMEC 16 Nozel Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
153 20.12.2018 Table Top Chain Atas EMEC 16 Nozel conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
154 20.12.2018 500015785 Chute Conveyor jerycan conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
155 20.12.2018 Roll Conveyor Depan conveyor 90 Class I (0-15 kW) ` 80 No Leakage Marking Complete 15 5 10 10 40
156 20.12.2018 500014036 Machine 16 Head Auto Filling Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
157 20.12.2018 Automatic Capper I EMEC 16 Nozel Capper 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
158 20.12.2018 500015837 Chain Conveyor Emec 16.1.2 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
159 20.12.2018 Chain Cvr,Timbangan & Rejector 16.1 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
160 20.12.2018 500015838 Chain Conveyor Emec 16.1.3 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
161 20.12.2018 500015789 Roll Conveyor Emec 16.1.1 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
162 20.12.2018 Automatic Capper II EMEC 16 Nozel Capper 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
163 20.12.2018 500015841 Chain Conveyor Emec 16.2.3 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
164 20.12.2018 500015840 Chain Conveyor Emec 16.2.2 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
165 20.12.2018 Chain Cvr, Timbangan & Rejector 16.2 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
166 20.12.2018 500015839 Roll Conveyor Emec 16.2.1 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
LINE : TIMBANGAN 2
167 20.12.2018 Mesin Label Satu Sisi Twin Head Filler mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
168 20.12.2018 Chain Conveyor Atas Twin Head Filler gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
169 20.12.2018 Roll Conveyor Atas Twin Head Filler gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
170 20.12.2018 500015786 Chute Coveyor Timbangan 2 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
171 20.12.2018 500015844 Chain Conveyor Timbangan 2 conveyor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
172 20.12.2018 500004297 TIMBANGAN 2 (TWIN HEAD) Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
173 20.12.2018 Print Code Alphajet Twin Head Filler printer 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
174 20.12.2018 Modular Conveyor (Putih) gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
LINE : BIB
175 20.12.2018 500015712 Karton Sealer Bottom BIB Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
176 20.12.2018 Motor1 Karton Sealer Bottom BIB Motor 90 35 37 220 0.3 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
177 20.12.2018 Motor2 Karton Sealer Bottom BIB Motor 90 39 38 220 0.3 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
178 20.12.2018 500014441 BAG IN BOX FILLER (BIB-1) Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
179 20.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
180 20.12.2018 500014442 BAG IN BOX FILLER (BIB-2) Mesin 90 23 27 100 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
181 20.12.2018 Motor 90 33 30 380 1.4 100 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
182 20.12.2018 500014443 BAG IN BOX FILLER (BIB-3) Mesin 90 26 25 100 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
183 20.12.2018 Motor 90 33 31 380 1.4 100 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
184 20.12.2018 Modular Conveyor (Putih) Gearbox 90 40 39 Class I (0-15 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
185 20.12.2018 Motor 90 41 42 380 5 Class I (0-15 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
186 20.12.2018 500015843 Roll Conveyor Gearbox 90 36 46 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
187 20.12.2018 Motor 90 51 46 380 1.8 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
188 20.12.2018 500015713 Karton Sealer Upper BIB Mesin 90 49 48 220 0.3 Class I (0-15 kW) 3.2 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
189 20.12.2018 90 51 49 220 0.3 Class I (0-15 kW) 3.8 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
190 20.12.2018 500015842 Roll Conveyor Gearbox 90 35 34 Class I (0-15 kW) 5.1 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
191 20.12.2018 Motor 90 40 41 380 0.4 Class I (0-15 kW) 4N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
192 20.12.2018 Roll Conveyor Gearbox 90 41 42 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
193 20.12.2018 Motor 90 45 39 380 0.6 Class I (0-15 kW) 3.6 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
194 20.12.2018 500015787 Chute Coveyor BIB Gearbox 90 40 41 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
195 20.12.2018 Motor 90 39 38 380 0.6 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
TOTAL
Categoriz
Critical
UNIT : SURABAYA Non Critic
DATE : 20.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : FILLING PLANT II

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 24.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : OPERATION (TK.C)

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 24.12.2018 500004415 CPO pump 1 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 24.12.2018 500007764 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
3 24.12.2018 500004416 CPO pump 2 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
4 24.12.2018 500007765 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
5 24.12.2018 500004418 CNO pump 2 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 24.12.2018 500007767 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
7 24.12.2018 500004419 Remelt pump Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 24.12.2018 500007768 Motor 7.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 24.12.2018 500020259 Export stearine pump (Selatan) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 24.12.2018 500020260 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
11 24.12.2018 500004421 Export stearine pump (Utara) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 24.12.2018 500007770 Motor 45 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
13 24.12.2018 500004423 Transfer CPO pump 1 (Tengah) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 24.12.2018 500007772 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
15 24.12.2018 500004424 Transfer CPO pump 2 (Utara) Pompa
16 24.12.2018 500007773 Motor 22
17 24.12.2018 500011727 PKO Pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 24.12.2018 500011728 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
19 24.12.2018 500008488 Agitator Tanki C.3 Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
20 24.12.2018 500008489 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 24.12.2018 500008490 Agitator Tanki C.4 Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 24.12.2018 500008491 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 24.12.2018 500008492 Agitator Tanki C.5 Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 24.12.2018 500008493 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
25 24.12.2018 500011723 Agitator Tanki C.1 Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 24.12.2018 500011724 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 24.12.2018 500011725 Agitator Tanki C.2 Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
28 24.12.2018 500011726 Motor 2.2 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 24.12.2018 500019208 Agitator Tanki C.6 Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
30 24.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
31 24.12.2018 500015629 Pompa Banjir Tanki C Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
32 24.12.2018 500016071 Motor: 22KW Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categori
Critical
UNIT : SURABAYA Non Crit
DATE : 24.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : OPERATION ( TK.I )

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 24.12.2018 500004428 Transfer RBD Strearine Margarine (Barat) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 24.12.2018 500007776 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
3 24.12.2018 500004429 Transfer RBD Stearine Langganan (Timur) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
4 24.12.2018 500007777 Motor 22 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
5 24.12.2018 500004432 Transfer RBD PO Consumer Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
6 24.12.2018 500007780 Motor 30 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
7 24.12.2018 500004433 Transfer RBD PO_Cons&RBD_CNO Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 24.12.2018 500007781 Motor 11 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 24.12.2018 500004434 Transfer RBD PO Consumer Pompa 90 48 47 100 Class II (15-75 kW) 4.6 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
10 24.12.2018 500007782 Motor 15 90 49 54 398 28.5 31 100 Class II (15-75 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 5 10 10 10 60
11 24.12.2018 Pompa IBC Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
12 24.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 24.12.2018 500010279 Agitator Mixer Tk.I,1 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 24.12.2018 500010280 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 24.12.2018 500010281 Agitator Mixer Tk.I,2 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 24.12.2018 500010282 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 24.12.2018 500004435 Agitator Mixer Tk.I,3 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 24.12.2018 500010283 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 24.12.2018 500004436 Agitator Mixer Tk.I,6 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 24.12.2018 500010288 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
21 24.12.2018 500010286 Agitator Mixer Tk.I,5 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 24.12.2018 500010287 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 24.12.2018 500010284 Agitator Mixer Tk.I,4 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
24 24.12.2018 500010285 Motor 1.5 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 24.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : OPERATION ( TK.P - BP )

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 24.12.2018 500011717 Transfer Olein pump (Frak) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
2 24.12.2018 500011718 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
3 24.12.2018 500011719 Transfer Olein pump (Frak) Pompa 90 56 60 100 Class II (15-75 kW) 3.9 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
4 24.12.2018 500011720 Motor 90 49 47 398 27.8 30 100 Class II (15-75 kW) 4.2 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
5 24.12.2018 500004441 Transfer Olein FMCP Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 24.12.2018 500007785 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
7 24.12.2018 500004443 Transfer Olein KMCP Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 24.12.2018 500007787 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
9 24.12.2018 500020370 Transfer RBD to Consumer Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 24.12.2018 500020371 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
11 24.12.2018 500020372 Transfer RBD to Fraksinasi Pompa 90 41 40 100 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
12 24.12.2018 500020373 Motor 90 41 39 398 26.7 31 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
13 24.12.2018 500020374 Transfer RBD to Margarine Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 24.12.2018 500020375 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
15 24.12.2018 500004444 Transfer RBD PO_SC&PFAD pump (BP) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
16 24.12.2018 500007788 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
17 24.12.2018 500004447 Transfer PFAD/Remelt pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 24.12.2018 500007791 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
19 24.12.2018 500020376 Transfer Remelt pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
20 24.12.2018 500020377 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
21 24.12.2018 500020390 Transfer RBD/Stearine Consumer (Timur) Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
22 24.12.2018 500020391 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
23 24.12.2018 500020392 Transfer RBD/Stearine Proses (Barat) Pompa 90 53 56 100 Class II (15-75 kW) 4.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
24 24.12.2018 500020393 Motor 90 42 43 398 29.6 38 100 Class II (15-75 kW) 5.1 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
25 24.12.2018 500004029 Pompa Soda (RefinerY) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 24.12.2018 500007540 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 24.12.2018 500004458 Transfer RBD PO_Sc pump 03 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
28 24.12.2018 500007800 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
29 24.12.2018
30 24.12.2018
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 24.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : OPERATION ( TK.B )

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 24.12.2018 500010295 Transfer olein pump (Portable Pump) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 24.12.2018 500010296 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 24.12.2018 500004464 Transfer olein Bulk pump Pompa 90 30 29 100 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
4 24.12.2018 500007806 Motor 90 34 33 397 19.7 22 100 Class I (0-15 kW) 4.4 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
5 24.12.2018 500004459 Transfer olein pump (Selatan) Pompa 90 29 28 100 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
6 24.12.2018 500007801 Motor 90 32 31 398 18.9 22 100 Class I (0-15 kW) 3.4 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
7 24.12.2018 500004460 Transfer olein pump (B,1,2,3) Pompa 90 34 33 80 Class II (15-75 kW) 10.1 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 5 5 10 10 55
8 24.12.2018 500007802 Motor 90 40 39 398 28.1 30 80 Class II (15-75 kW) 13.8 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 1 10 10 46
9 24.12.2018 500004463 Transfer olein pump (B,1,2,3) Pompa 90 36 37 80 Class II (15-75 kW) 7.4 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 5 15 5 10 10 70
10 24.12.2018 500007805 Motor 90 39 38 398 31.6 55 80 Class II (15-75 kW) 14.1 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 1 10 10 46
11 24.12.2018 500008500 Transfer olein pump Tanki B.4.5.6 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 24.12.2018 500008501 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
13 24.12.2018 500004462 Transfer olein pump Tanki B.6 Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
14 24.12.2018 500007804 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
15 24.12.2018 500004449 Solar pump Pompa 90 42 40 100 Class II (15-75 kW) 2.2 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
16 24.12.2018 500007793 Motor 90 31 30 397 6.6 9 100 Class II (15-75 kW) 2.5 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
17 24.12.2018 Pompa Penerimaan Transfer Internal Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
18 24.12.2018 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 18.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : UNIT PERAK

C I L T C I L T
1 2 5 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 18.12.2018 500004610 Pompa CPO 1 Pompa 90 32 32 100 Class II (15-75 kW) 4.5 N 80 No Leakage No Marking Complete 15 5 5 5 5 0 10 45
2 18.12.2018 500004592 Motor: ASEA, 30 KW Motor 90 32 34 390 25.7 50 100 Class II (15-75 kW) 3.6 N 80 No Leakage No Marking Complete 15 5 5 10 0 10 45
3 18.12.2018 500004611 Pompa Olein 1 Pompa
4 18.12.2018 500004614 Motor: ASEA, 30 KW Motor
5 18.12.2018 500004612 Pompa CPO 2 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
6 18.12.2018 500004615 Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
7 18.12.2018 500004574 Pompa CPO 2 Cadangan Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
8 18.12.2018 500004575 Motor: FORCA, 37 KW Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
9 18.12.2018 500004599 IDO Pump Boiler Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
10 18.12.2018 500004606 Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
11 18.12.2018 500004600 Water Feeding Pump 1 Pompa 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
12 18.12.2018 500004607 Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
13 18.12.2018 500004601 Water Feeding Pump 2 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
14 18.12.2018 500004608 Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
15 18.12.2018 500011360 Pompa Transfer Condensat Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
16 18.12.2018 500011361 Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
17 18.12.2018 500011362 Pompa Transfer Solar 1 Pompa 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
18 18.12.2018 500011363 Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
19 18.12.2018 500011366 Pompa Air Ke Kantor Pompa
20 18.12.2018 500011367 Motor
21 18.12.2018 500004598 Pompa Condensat Pompa 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
22 18.12.2018 500004605 Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
23 18.12.2018 Agitator Tanki N.1 Gearbox 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
24 18.12.2018 Motor: ABB, 2,2 KW Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
25 18.12.2018 Agitator Tanki N.2 Gearbox 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
26 18.12.2018 Motor: ABB, 2,2 KW Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
27 18.12.2018 500011354 Agitator Tanki N.3 Gearbox 90 31 30 Class I (0-15 kW) 3.5 N 80 No Leakage No Marking Complete 15 5 5 5 15 5 0 10 60
28 18.12.2018 500011355 Motor: ABB, 2,2 KW Motor 90 35 34 390 4.1 4.5 Class I (0-15 kW) 4.1 N 80 No Leakage No Marking Complete 15 5 5 5 0 10 40
29 18.12.2018 500011356 Agitator Tanki N.4 Gearbox 90 34 33 Class I (0-15 kW) 3.3 N 80 No Leakage No Marking Complete 15 5 5 5 15 5 0 10 60
30 18.12.2018 500011357 Motor: ABB, 2,2 KW Motor 90 40 39 390 3.9 4.5 Class I (0-15 kW) 4.3 N 80 No Leakage No Marking Complete 15 5 5 5 0 10 40
31 18.12.2018 500012544 Agitator Tanki N.5 Gearbox 90 31 30 Class I (0-15 kW) 2.2 N 80 No Leakage No Marking Complete 15 5 5 10 15 5 0 10 65
32 18.12.2018 500012545 Motor: ABB, 2,2 KW Motor 90 34 33 390 5.1 9 Class I (0-15 kW) 2.4 N 80 No Leakage No Marking Complete 15 5 5 10 0 10 45
33 18.12.2018 500012546 Agitator Tanki N.6 Gearbox 90 32 31 Class I (0-15 kW) 3.9 N 80 No Leakage No Marking Complete 15 5 5 5 15 5 0 10 60
34 18.12.2018 500012547 Motor: ABB, 2,2 KW Motor 90 33 32 390 5.3 9 Class I (0-15 kW) 2.9 N 80 No Leakage No Marking Complete 15 5 5 5 0 10 40
35 18.12.2018 Pompa Banjir Pompa 90 31 30 100 Class I (0-15 kW) 25.4 A 80 No Leakage No Marking Complete Arah Vertical 15 5 5 1 5 0 10 41
36 18.12.2018 Motor 90 30 29 390 5.6 16 100 Class I (0-15 kW) 10.7 N 80 No Leakage No Marking Complete Arah Axial 15 5 5 1 0 10 36
37 18.12.2018 500004578 Pompa PFAD 1 Pompa 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
38 18.12.2018 500004579 Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
39 18.12.2018 500004586 Pompa PFAD 2 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
40 18.12.2018 500004587 Motor: MEZ, 30 KW Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
41 18.12.2018 500004588 Pompa Stearine Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
42 18.12.2018 500004618 Motor: MEZ, 30 KW Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
43 18.12.2018 500004590 Pompa RDB Stearine Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
44 18.12.2018 500004591 Motor: MEZ, 30 KW Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
45 18.12.2018 500004619 Pompa CPO Pompa 90 47 42 100 Class II (15-75 kW) 3.5 N 80 No Leakage No Marking Complete 15 5 5 10 15 5 0 10 65
46 18.12.2018 500004581 Motor: MEZ, 30 KW Motor 90 43 42 390 19.1 40 100 Class II (15-75 kW) 2.2 N 80 No Leakage No Marking Complete 15 5 5 10 0 10 45
47 18.12.2018 500004620 Pompa RBD Olein 1 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
48 18.12.2018 500004623 Motor: MEZ, 37 KW Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
49 18.12.2018 500004621 Pompa RBD Olein 2 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
50 18.12.2018 500004624 Motor: MEZ, 45 KW Motor 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 0 10 25
51 18.12.2018 500004589 Pompa Air Pompa 90 38 36 100 Class II (15-75 kW) 5.9 N 80 No Leakage No Marking Complete 15 5 5 5 15 5 0 10 60
52 18.12.2018 500004622 Motor 90 39 38 390 5.4 9 100 Class II (15-75 kW) 3.2 N 80 No Leakage No Marking Complete 15 5 5 10 0 10 45
53 18.12.2018 500004595 Blower Boiler Perak Blower 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 5 0 10 30
54 18.12.2018 500004603 Motor 90 Class I (0-15 kW) 80 No Leakage No Marking Complete 15 0 10 25
55 18.12.2018 500011368 Pompa Export 1 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
56 18.12.2018 500011369 Diesel : DEUTZ, 85 KW Diesel 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
57 18.12.2018 500011370 Pompa Export 2 Pompa 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
58 18.12.2018 500011371 Diesel : DEUTZ, 85 KW Diesel 90 Class II (15-75 kW) 80 No Leakage No Marking Complete 15 15 5 0 10 45
TOTAL
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 18.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : UNIT PERAK

C I L T C I L T
1 2 5 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : MARGARINE - EMBALAGE - WAREHOUSE SPARE PART

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
Pompa Banjir Tanki C
16 500015629 Pompa
Motor: 22KW
500016071 Motor 22

TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 26.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : PMK

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 26.12.2018 500004561 Transfer water pump (Diesel) Pompa 90 29 28 100 Class II (15-75 kW) 6.1 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
2 26.12.2018 500008174 Diesel 90 37 38 100 Class I (0-15 kW) 5.7 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
3 26.12.2018 500004562 Electric pump / Main Pump Pompa 90 29 28 100 Class I (0-15 kW) 10.6 N 80 No Leakage Marking Complete Arah Axial 15 5 5 1 5 10 10 51
4 26.12.2018 500008175 Motor 90 35 34 398 71 70 100 Class II (15-75 kW) 10.1 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 5 10 10 50
5 26.12.2018 500004563 Jockey Pump Pompa 90 30 29 100 Class I (0-15 kW) 4.6 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
6 26.12.2018 500008176 Motor 90 41 40 398 23 29 100 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
7 26.12.2018 500008179 Diesel MWM pump Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 26.12.2018 500008180 Diesel 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
LOKASI :FILLING PLANT
9 26.12.2018 500016139 Pompa Diesel Pompa 90 31 30 100 Class II (15-75 kW) 11.4 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 1 5 10 10 51
10 26.12.2018 500016140 Diesel 90 29 30 100 Class II (15-75 kW) 13.7 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 1 15 5 10 10 66
11 26.12.2018 500016141 Pompa PMK 2 / Main Pump Pompa 90 30 29 100 Class II (15-75 kW) 7.3 N 80 No Leakage Marking Complete Arah Vertical 15 5 5 5 15 5 10 10 70
12 26.12.2018 500016142 Motor 90 37 36 398 30.8 70 100 Class II (15-75 kW) 3.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
13 26.12.2018 500016143 Pompa PMK 3 / Jockey Pump Pompa 90 31 30 100 Class I (0-15 kW) 1.1 N 80 Leakage Marking Complete 15 5 5 20 1 10 10 66
14 26.12.2018 500016144 Motor 90 33 32 398 7.8 13 100 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
15 26.12.2018 500016145 Pompa PMK 4 / Shower Pump Pompa 90 33 32 100 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
16 26.12.2018 500016146 Motor 90 33 34 398 3.5 7 100 Class I (0-15 kW) 4.3 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
17 26.12.2018 500016147 Pompa Suplay Water To WTP Pompa 90 55 57 100 Class I (0-15 kW) 4.4 N 80 Leakage Marking Complete 15 5 5 5 15 1 10 10 66
18 26.12.2018 500016148 Motor 90 42 41 398 8.9 14 100 Class I (0-15 kW) 4.6 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 27.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : DIESEL - COMPRESSOR - DRYER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 27.12.2018 500004483 Oil Transfer Pump Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 27.12.2018 500007871 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Mesin Genset 1
2 27.12.2018 500008304 Gas Engine 90 Class III (>75 kW_Rig) 80 No Leakage Marking Complete 30 30 10 20 20 110
(Gas Engine M01)
4 27.12.2018 500008305 Generator Set 90 Class III (>75 kW_Rig) 80 No Leakage Marking Complete 30 10 20 20 80
5 27.12.2018 500004484 Jacket Water Pump 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 27.12.2018 500007872 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 27.12.2018 500004486 Inter Cooler Water Pump 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
8 27.12.2018 500007873 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
9 27.12.2018 500004491 Prelubricant Pump 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 27.12.2018 500007877 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Mesin Genset 2
11 27.12.2018 500008302 Mesin 90 Class III (>75 kW_Rig) 80 No Leakage Marking Complete 30 30 10 20 20 110
(Gas Engine M02)
12 27.12.2018 500008303 Generator 90 Class III (>75 kW_Rig) 80 No Leakage Marking Complete 30 10 20 20 80
13 27.12.2018 500004487 Jacket Water Pump 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 27.12.2018 500007874 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 27.12.2018 500004488 Inter Cooler Water Pump 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
16 27.12.2018 500007875 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 27.12.2018 500004489 Prelubricant Pump 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 27.12.2018 500007876 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
AIR COMPRESSOR
23 27.12.2018 500004150 SULLAIR-1 Compressor 90 84 71 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 30 6 10 20 30 10 20 20 146
24 27.12.2018 500010613 TYPE : LS16 – 100 Motor 90 61 67 398 76.5 92 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
25 27.12.2018 500004148 SULLAIR-2 Compressor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
26 27.12.2018 500004149 TYPE : LS16 – 100 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
27 27.12.2018 500004147 SULLAIR-3 Compressor 90 79 71 Class II (15-75 kW) 5.7 N 80 No Leakage Marking Complete 30 10 10 10 30 10 20 20 140
28 27.12.2018 500010616 TYPE : LS16 – 100 Motor 90 58 66 398 76.7 92 Class II (15-75 kW) 3.5 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
29 27.12.2018 500019249 SULLAIR-4 Compressor 90 78 68 Class II (15-75 kW) 3.1 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
30 27.12.2018 TYPE : (WS-7508) Motor 90 60 55 398 79.2 92 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
31 27.12.2018 500019250 SULLAIR-5 Compressor 90 80 70 Class II (15-75 kW) 1.9 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
32 27.12.2018 TYPE : (WS-7508) Motor 90 59 53 398 40.2 92 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
33 27.12.2018 500004146 KAESER-2 Compressor 90 80 74 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 20 30 10 20 20 150
34 27.12.2018 500010617 TYPE : CSD-122 Motor 90 63 60 398 71.3 60 Class II (15-75 kW) 2.6 N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
35 27.12.2018 500008446 KAESER-3 Compressor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
36 27.12.2018 500010615 TYPE : CSD-122 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
37 27.12.2018 500014417 KAESER-4 Compressor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 30 10 20 20 110
38 27.12.2018 500014418 TYPE : CSD105 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 30 20 20 70
NEXUS DESICANT DRYER
39 27.12.2018 500014438 DRYER 01 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
40 27.12.2018 500015766 POMPA VACUUM 01 POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
41 27.12.2018 500014439 DRYER 02 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 20 20 70
42 27.12.2018 500015767 POMPA VACUUM 02 POMPA 90 Class I (0-15 kW) 80 No Leakage Marking Complete 30 10 20 20 80
43 27.12.2018 500014440 DRYER 03 Motor 90 61 53 398 6.2 9 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 30 10 10 20 20 20 110
44 27.12.2018 500015768 POMPA VACUUM 03 POMPA 90 92 75 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 30 6 10 20 10 20 20 116
TOTAL ###

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 27.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : DIESEL - COMPRESSOR - DRYER

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 28.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : BOILER BATUBARA 1 (LAMA)

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 28.12.2018 500008471 ID Fan Blower 90 82 77 Class II (15-75 kW) 2.9 N 80 No Leakage Marking Complete 15 3 5 10 5 10 10 58
2 28.12.2018 500008472 Motor 90 57 50 398 50.2 200 Class II (15-75 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
3 28.12.2018 500008800 Belt Conveyor Batu bara 01 Gearbox 90 41 45 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
4 28.12.2018 500008469 Motor 90 45 44 398 1.5 5 Class I (0-15 kW) 2.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
5 28.12.2018 500008801 Belt Conveyor Batu bara 02 Gearbox 90 42 43 Class I (0-15 kW) 5.5 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
6 28.12.2018 500008470 Motor 90 49 48 398 5.3 20 Class I (0-15 kW) 4.8 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
7 28.12.2018 500008796 Swing cut A Gearbox 90 44 46 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
8 28.12.2018 500008459 Motor 90 50 49 398 0.4 1 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
9 28.12.2018 500008797 Swing cut B Gearbox 90 Class I (0-15 kW) No Leakage Marking Complete 15 5 10 10 40
10 28.12.2018 500008460 Motor 90 Class I (0-15 kW) No Leakage Marking Complete 15 10 10 35
11 28.12.2018 500008798 Gearbox Stocker 1 Gearbox 90 39 40 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
12 28.12.2018 500008461 Motor 90 44 46 398 0.5 4 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
13 28.12.2018 500008799 Gearbox Stocker 2 Gearbox 90 40 42 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
14 28.12.2018 500008462 Motor 90 45 40 398 0.5 4 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
15 28.12.2018 500008463 Blower (FD) Fan Control A Blower 90 34 33 Class II (15-75 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
16 28.12.2018 500008464 Motor 90 49 44 398 7.5 23 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
17 28.12.2018 500008465 Blower (FD) Fan Control B Blower 90 36 34 Class II (15-75 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 20 5 10 10 70
18 28.12.2018 500008466 Motor 90 46 43 398 7.4 23 Class II (15-75 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
19 28.12.2018 500008794 Rotary As Valve 1 Gearbox 90 53 51 Class I (0-15 kW) 2.6 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
20 28.12.2018 500008457 Motor 90 53 51 398 0.6 1.2 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
21 28.12.2018 500008795 Rotary As Valve 2 Gearbox 90 71 73 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
22 28.12.2018 500008458 Motor 90 57 51 398 0.6 1.2 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
23 28.12.2018 500008453 Supply Boiler Feed Water Pump 1 Pompa 90 77 56 100 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
24 28.12.2018 500008454 Motor 90 50 45 398 7.9 44 100 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
25 28.12.2018 500008455 Supply Boiler Feed Water Pump 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
26 28.12.2018 500008456 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 28.12.2018 500008467 Conveyor Pembuangan limbah Gearbox 90 48 50 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
28 28.12.2018 500008468 Motor 90 64 71 398 1.2 2 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
29 28.12.2018 500008449 Supply Dearerator Pump 1 Pompa 90 29 30 100 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
30 28.12.2018 500008450 Motor 90 30 31 398 6.5 15 100 Class I (0-15 kW) 3N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
31 28.12.2018 500008498 Supply Dearerator Pump 2 Pompa 90 34 33 100 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
32 28.12.2018 500008499 Motor 90 32 31 398 6.3 15 100 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 10 10 65
33 28.12.2018 500008443 Crusher Machine 1 Mesin 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
34 28.12.2018 500008444 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
35 28.12.2018 500004526 Crusher Machine 2 Gearbox 90 41 47 Class II (15-75 kW) 2.8 N 80 Leakage Marking Complete 15 5 5 10 15 1 10 10 71
36 28.12.2018 500007838 Motor1 90 47 46 398 0.6 3 Class II (15-75 kW) 4.8 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
37 28.12.2018 500010967 Motor2 90 40 39 398 7.3 11 Class II (15-75 kW) 9N 80 No Leakage Marking Complete Arah Vertical 15 5 5 5 5 10 10 55
38 28.12.2018 500010968 Hoist Crane Crane 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
39 28.12.2018 500004525 Dosing Pump 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
40 28.12.2018 500008171 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
41 28.12.2018 500008451 Dosing Pump 2 Pompa 90 41 44 100 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
42 28.12.2018 500008452 Motor 90 43 46 220 0.3 2 100 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
43 28.12.2018 500014018 Screw Conveyor Gearbox 90 37 32 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
44 28.12.2018 500014019 Motor 90 38 36 398 6.7 9.5 Class II (15-75 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 28.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : BOILER BATUBARA 1 (LAMA)

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : 31.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : BOILER BATUBARA 2 (BARU)

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Check Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Kebocoran Bolt & Nut
1 31.12.2018 500014736 ID Fan Mesin 90 39 81 Class II (15-75 kW) 3.3 N 80 No Leakage Marking Complete 15 5 3 10 5 10 10 58
2 31.12.2018 500014737 Motor 90 46 38 398 80.5 200 Class II (15-75 kW) 4.9 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
3 31.12.2018 500014738 Rotary As Valve A (Selatan) Gearbox 90 44 47 Class I (0-15 kW) 4.2 N 80 No Leakage Marking Complete 15 5 5 5 15 5 10 10 70
4 31.12.2018 500014739 Motor 90 54 52 398 1.9 3 Class I (0-15 kW) 4N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
5 31.12.2018 500014740 Rotary As Valve B (Tengah ) Gearbox 90 45 48 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
6 31.12.2018 500014741 Motor 90 55 50 398 1.9 2.2 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
7 31.12.2018 500014742 Rotary As Valve C (Utara) Gearbox 90 56 58 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
8 31.12.2018 500014743 Motor 90 63 59 398 0.9 3 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 10 10 65
9 31.12.2018 500014744 Supply Boiler Feed Water Pump 1 (Selatan) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 31.12.2018 500014745 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 31.12.2018 500014746 Supply Boiler Feed Water Pump 2 (Utara) Pompa 90 76 59 100 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
12 31.12.2018 500014747 Motor 90 47 43 398 18.6 23 100 Class I (0-15 kW) 7.6 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 1 10 10 46
13 31.12.2018 500014748 Belt Conveyor Pembuangan limbah 1 (bawah) Gearbox 90 44 41 Class I (0-15 kW) 0.8 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
14 31.12.2018 500014749 Motor 90 50 55 398 0.1 2 Class I (0-15 kW) 0.9 N 80 No Leakage Marking Complete 15 5 5 20 10 10 65
15 31.12.2018 500014750 Belt Conveyor Pembuangan limbah 2 (Atas) Gearbox 90 42 41 Class I (0-15 kW) 1.5 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
16 31.12.2018 500014751 Motor 90 41 40 398 4.3 7 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
17 31.12.2018 500014752 FD Fan A (Barat) Fd Fan 90 34 33 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
18 31.12.2018 500014753 Motor 90 47 43 398 4.4 23 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
19 31.12.2018 500014754 FD Fan B (Timur) Fd Fan 90 34 33 Class I (0-15 kW) 1.6 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
20 31.12.2018 500014755 Motor 90 45 43 398 4.4 23 Class I (0-15 kW) 2.1 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
21 31.12.2018 500014756 Gearbox Stocker 1 (Barat) Gearbox 90 43 44 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
22 31.12.2018 500014757 Motor 90 57 53 398 0.5 4 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
23 31.12.2018 500014758 Gearbox Stocker 2 (Timur) Gearbox 90 42 44 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
24 31.12.2018 500014759 Motor 90 56 53 398 0.7 4 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
25 31.12.2018 500014760 Swing cut A (Barat) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
26 31.12.2018 500014761 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
27 31.12.2018 500014762 Swing cut B (Timur) Gearbox 90 46 45 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
28 31.12.2018 500014763 Motor 90 50 49 398 0.7 1.2 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
29 31.12.2018 500014764 Belt Conveyor Batubara 3 Gearbox 90 48 47 Class I (0-15 kW) 2.4 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
30 31.12.2018 500014765 Motor 90 51 49 398 2.5 4 Class I (0-15 kW) 3.1 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
31 31.12.2018 500014766 Bucket Pengisian batubara A (barat) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
32 31.12.2018 500014767 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
33 31.12.2018 500014768 Bucket Pengisian batubara B (timur) Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
34 31.12.2018 500014769 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : BOILER 3

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 500004507 Feed water pump B-2-1 Pompa
2 500007826 Motor 22
3 500004508 Feed water pump B-2-2 Pompa
4 500007827 Motor 22
5 500004509 Blower B-2 Blower
6 500007828 Motor 37
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize :
Critical
UNIT : SURABAYA Non Critical
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : BOILER 4

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Type Equip. Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 500004522 Feed water pump B-4-1 Pompa
2 500007835 Motor 22
3 500004523 Feed water pump B-4-2 Pompa
4 500007836 Motor 37
5 500004520 Blower B-4 Blower
6 500007835 Motor
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categori
Critical
UNIT : SURABAYA Non Criti
DATE : 26.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : WATER TREATMENT PLANT

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 26.12.2018 500019983 FEED FILTER PUMP 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
2 26.12.2018 500019984 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
3 26.12.2018 500019985 FEED FILTER PUMP 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
4 26.12.2018 500019986 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
5 26.12.2018 500019987 FEED FILTER PUMP 3 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
6 26.12.2018 500019988 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
7 26.12.2018 500019989 FEED FILTER PUMP 4 Pompa 90 30 30 50 Class I (0-15 kW) 0.9 N 80 No Leakage Marking Complete 15 5 5 20 5 10 10 70
8 26.12.2018 500019990 Motor 90 30 31 397 8.6 12 50 Class I (0-15 kW) 1.1 N 80 No Leakage Marking Complete 15 5 5 20 10 10 65
9 26.12.2018 BACK WASH PUMP 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
10 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
11 26.12.2018 BACK WASH PUMP 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
12 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
13 26.12.2018 DOMESTIC TRANSFER PUMP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
14 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
15 26.12.2018 DOMESTIC TRANSFER PUMP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
16 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
17 26.12.2018 TO RO FEED PUMP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
18 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
19 26.12.2018 TO RO FEED PUMP Pompa 90 31 30 100 Class I (0-15 kW) 1.3 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
20 26.12.2018 Motor 90 37 35 397 8.8 12 100 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
21 26.12.2018 TO RO FEED PUMP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
22 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
23 26.12.2018 WTP SLUDGE PUMP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
24 26.12.2018 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
25 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
26 26.12.2018 WTP SLUDGE PUMP Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
27 26.12.2018 Gearbox 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
28 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
29 26.12.2018 RAW WATER PUMP 1 Pompa
30 26.12.2018 Motor
31 26.12.2018 RAW WATER PUMP 2 Pompa
32 26.12.2018 Motor
33 26.12.2018 POMPA AIR GARAM 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
34 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
35 26.12.2018 POMPA AIR GARAM 2 Pompa 90 55 52 100 Class I (0-15 kW) 4.2 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
36 26.12.2018 Motor 90 45 42 397 100 Class I (0-15 kW) 3.6 N 80 No Leakage Marking Complete 15 5 5 5 10 10 50
37 26.12.2018 AGITATOR TANKI GARAM Agitator 90 30 29 Class I (0-15 kW) 2N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
38 26.12.2018 Motor 90 35 34 398 1.8 3 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
39 26.12.2018 500020912 POMPA 1 RO 1 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
40 26.12.2018 500020913 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
41 26.12.2018 500020914 POMPA 2 RO 1 Pompa 90 29 30 50 Class I (0-15 kW) 1.9 N 80 No Leakage Marking Complete 15 5 5 10 5 10 10 60
42 26.12.2018 500020915 Motor 90 37 35 397 25.8 31 50 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
43 26.12.2018 500020916 POMPA 1 RO 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
44 26.12.2018 500020917 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
45 26.12.2018 500020918 POMPA 2 RO 2 Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
46 26.12.2018 500020919 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
47 26.12.2018 500011708 POMPA 1 RO 3 (RO LAMA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
48 26.12.2018 500011709 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
49 26.12.2018 500011710 POMPA 2 RO 3 (RO LAMA) Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
50 26.12.2018 500011711 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
51 26.12.2018 500020922 POMPA CIP 1 Pompa 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
52 26.12.2018 500020923 Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
53 26.12.2018 500020924 POMPA CIP 2 Pompa 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
54 26.12.2018 500020925 Motor 95 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
55 26.12.2018 500020920 CHAIN HOIST Hoist 90 30 29 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 15 5 10 10 65
56 26.12.2018 500020921 Motor 90 37 36 398 1.4 3 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 5 10 10 45
57 26.12.2018 AGITATOR MIXER Agitator 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
58 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
59 26.12.2018 POMPA 1 INPUT DARI SUNGAI Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
60 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
61 26.12.2018 POMPA 1 INPUT DARI SUNGAI Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
62 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
Categori
Critical
UNIT : SURABAYA Non Criti
DATE : 26.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : WATER TREATMENT PLANT

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
63 26.12.2018 POMPA 1 INPUT DARI SUNGAI Pompa 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
64 26.12.2018 Motor 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
65 26.12.2018 500020394 Pompa Distribusi Soft Water Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
66 26.12.2018 500020395 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
67 26.12.2018 500020396 Pompa Distribusi Spare Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
68 26.12.2018 500020397 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
69 26.12.2018 500020398 Pompa Distribusi Reject Pompa 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 5 10 10 40
70 26.12.2018 500020399 Motor 90 Class II (15-75 kW) 80 No Leakage Marking Complete 15 10 10 35
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categori
Critical
UNIT : SURABAYA Non Criti
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : WASTE WATER TREATMENT PLANT

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 RAS PUMP 1 Pompa
Motor
2 RAS PUMP 2 Pompa
Motor
3 WWTP AIR BLOWER 1 Blower
Motor
4 WWTP AIR BLOWER 2 Blower
Motor
5 WWTP AIR BLOWER 3 Blower
Motor
6 SLUDGE PUMP 1 Pompa
Motor
7 SLUDGE PUMP 2 Pompa
Motor
8 SLUDGE PUMP 3 Pompa
Motor
9 SLUDGE PUMP 4 Pompa
Motor
10 MotorPENGGERAK di BAK DAF Motor
11 AIR COMPRESSOR Compressor
Motor
12 AGITATOR FLOCCULANT TANK Agitator
Motor
13 RAS PUMP 3 Pompa
Motor
14 RAS PUMP 4 Pompa
Motor
15 EQUALIZATION PUMP 1 Pompa
Motor
16 EQUALIZATION PUMP 2 Pompa
Motor
17 AGITATOR NEUTRIENT 02 Agitator
Motor
18 AGITATOR NEUTRIENT 01 Agitator
Motor
19 SUMP PIT PUMP 1 Pompa
Motor
20 SUMP PIT PUMP 2 Pompa
Motor
TOTAL

Note : .................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................

Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

(......................................) (......................................) (......................................) (......................................) (......................................)


Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Categori
Critical
UNIT : SURABAYA Non Criti
DATE : CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : WASTE WATER TREATMENT PLANT

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.
Categorize
Critical
UNIT : SURABAYA Non Critica
DATE : 27.12.2018 CHEKLIST AND PREDICTIVE MAINTENANCE REPORT
AREA : WORKSHOP MAINTENANCE

C I L T C I L T
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total
Tag No. of Type Power 1 2 3 5 8 11 12 13 14
No Date Equipment No Description Cleanliness Temp. Of Bearing MotorCurrent Vibration Noise Greasing Oil Level Tightening Remarks
Equipment Equip. (Kw) Supply % of
Front Rear (Proportional Opening Valve) % of Sight Kelengkapan
% Clean Voltage (V) Severity Criteria ( mm/s ) N/A % of Marking 15 10 15 20 20 20 100
°C °C I (Amp.) TOR % Valve Capacity Glass Check Kebocoran Bolt & Nut
1 27.12.2018 500008516 Lathe machine 1 Mesin 90 30 30 Class I (0-15 kW) 1.2 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
2 27.12.2018 500008517 Motor 4.5 90 33 34 395 8.1 20 Class I (0-15 kW) 8.9 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 5 1 10 10 51
3 27.12.2018 500004470 Lathe machine 2 Mesin
4 27.12.2018 500007812 Motor 2.2
5 27.12.2018 500004471 Lathe machine 3 Mesin 90 35 37 Class I (0-15 kW) 0.7 N 80 No Leakage Marking Complete 15 5 5 20 15 5 10 10 85
6 27.12.2018 500007813 Motor 5.5 90 39 38 395 8.3 20 Class I (0-15 kW) 0.8 N 80 No Leakage Marking Complete 15 5 5 15 20 10 10 80
7 27.12.2018 500017478 Lathe machine 4 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 15 5 10 10 55
8 27.12.2018 500004478 Grinder machine 1 Mesin 90 29 29 Class I (0-15 kW) 7.6 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 1 5 10 10 51
9 27.12.2018 500008172 Motor 0.58 90 29 29 230 1.7 4 Class I (0-15 kW) 2.8 N 80 No Leakage Marking Complete 15 5 5 0 5 10 10 50
10 27.12.2018 500004479 Grinder machine 2 Mesin 90 30 30 Class I (0-15 kW) 9.9 N 80 No Leakage Marking Complete Arah Horizontal 15 5 5 1 5 10 10 51
11 27.12.2018 500008173 Motor 0.75 90 32 33 230 1.9 4 Class I (0-15 kW) 4.3 N 80 No Leakage Marking Complete 15 5 5 0 5 10 10 50
12 27.12.2018 500004472 Drilling machine 1 Mesin 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 5 10 10 40
13 27.12.2018 500007814 Motor 1.1 90 Class I (0-15 kW) 80 No Leakage Marking Complete 15 10 10 35
14 27.12.2018 500004473 Drilling machine 2 Mesin 90 29 29 Class I (0-15 kW) 2.9 N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
15 27.12.2018 500007815 Motor 1.5 90 29 30 395 2.7 5.2 Class I (0-15 kW) 3N 80 No Leakage Marking Complete 15 5 5 5 5 10 10 55
16 27.12.2018 500004474 Freis Machine 01 Mesin 1.1 90 29 28 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
17 27.12.2018 500007816 Motor 90 32 31 395 4.6 16 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
18 27.12.2018 500008518 Freis Machine 02 Mesin 1.5 90 29 28 Class I (0-15 kW) 1.7 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
19 27.12.2018 500008519 Motor 90 30 29 395 3.5 10 Class I (0-15 kW) 1.4 N 80 No Leakage Marking Complete 15 5 5 10 10 10 55
20 27.12.2018 500017479 Freis Machine 03 Mesin 90 29 30 395 3.6 10 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
21 27.12.2018 500004475 Shaping machine 1 Mesin 90 29 28 Class I (0-15 kW) 1.8 N 80 No Leakage Marking Complete 15 5 5 10 15 5 10 10 75
22 27.12.2018 500007817 Motor 2.2 90 32 31 395 2.7 10 Class I (0-15 kW) 2.3 N 80 No Leakage Marking Complete 15 5 5 15 10 10 10 70
TOTAL

Note : .................................................................................................................................................................................................................................................

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Di Check Oleh CILT Inspector : Diketahui Oleh : Di Setujui Oleh : Di ketahui Oleh
User Area

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Mechanic Electrician Officer Check Rutin Maintenance Planner Officer / Section Head

Keterangan :
Tag No. Of Equipment Diisi dengan No Asset/ Tag No dari equipment yg diperiksa Item dalam bobot penilaian Vibration Severity Criteria
Description Diisi dengan description dari equipment yg diperiksa Item tidak dalam bobot penilaian Class I Small sized machines (powered from 0 to 15 KW)
Cleanliness Diisi dengan melihat kondisi kebersihan equipment dan kondisi sekitarnya Class II Medium sized machines (powered from 15 to 75KW)
Temperature of Bearing Diisi dengan data hasil pengukuran di lapangan dengan memakai alat temperatur laser/ thermal imager (less contact) Critical Equipment Bobot Score akan di kalikan 2 dari parameter Class III Large-sized machines (powered >75KW) mounted on "Rigid support"
Supply Voltage Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere Non Critical Equipment bernilai sesuai parameter Class IV Large-sized machines (powered >75KW) mounted on "Flexible support"
MotorCurrent Diisi dengan data hasil pengukuran di lapangan dengan memakai alat AVOmeter/ Tang Ampere
Vibration Diisi dengan data hasil pengukuran di lapangan dengan memakai alat SKF Vibration Test.

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