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- <!DOCTYPE html>
- <html lang="en">
- <head>
- <meta charset="UTF-8">
- <meta name="viewport" content="width=device-width, initial-scale=1.0">
- <title>Monitoring Armada Pengiriman</title>
- <style>
- body {
- font-family: Arial, sans-serif;
- margin: 0;
- padding: 20px;
- font-size: 12px;
- }
- .header {
- display: flex;
- justify-content: space-between;
- align-items: center;
- border: 1px solid black;
- }
- .logo-title {
- display: flex;
- align-items: center;
- border-right: 1px solid black;
- padding: 10px;
- width: 80%;
- }
- .logo {
- width: 100px;
- height: auto;
- margin-right: 20px;
- }
- .form-title {
- font-size: 16px;
- font-weight: bold;
- display:flex;
- flex-direction:row;
- width:100%;
- justify-content:center;
- }
- .form-number {
- font-size: 12px;
- text-align: right;
- padding: 10px;
- width: 20%;
- }
- .form-info {
- border: 1px solid black;
- border-top: none;
- padding: 10px;
- }
- table {
- width: 100%;
- border-collapse: collapse;
- margin-top: 10px;
- }
- th, td {
- border: 1px solid black;
- padding: 5px;
- text-align: center;
- font-size: 12px;
- }
- .activity-column {
- text-align: left;
- padding-left: 10px;
- }
- .footer {
- display: flex;
- justify-content: space-between;
- margin-top: 20px;
- }
- .signature {
- flex: 1;
- text-align: center;
- }
- .signature-line {
- display: inline-block;
- width: 150px;
- border-bottom: 1px solid black;
- }
- .instructions {
- margin-top: 10px;
- }
- </style>
- </head>
- <body>
- <div class="header">
- <div class="logo-title">
- <img src="bahtera-logo.png" alt="Bahtera Logo" class="logo">
- <div class="form-title">MONITORING ARMADA PENGIRIMAN</div>
- </div>
- <div class="form-number">BAJ.Form.Gdg.14<br>Rev.00</div>
- </div>
- <div class="form-info">
- <!-- <div>Bulan / Tahun : ________________/20___</div>
- <div>Jenis Kendaraan : _______________________</div>
- <div>Nomor Polisi : _______________________</div> -->
- <table style="border-collapse:none; width: 80%">
- <tr>
- <td style="text-align: left;border:none; width:15%">Bulan / Tahun</td>
- <td style="border:none">:</td>
- <td style="border:none;text-align:left">________________/20____</td>
- <tr>
- <tr>
- <td style="text-align: left;border:none">Jenis Kendaraan</td>
- <td style="border:none">:</td>
- <td style="border:none;text-align:left">_______________________</td>
- <tr>
- <tr>
- <td style="text-align: left;border:none">Nomor Polisi</td>
- <td style="border:none">:</td>
- <td style="border:none;text-align:left">_______________________</td>
- <tr>
- </table>
- </div>
- <table>
- <thead>
- <tr>
- <th rowspan="2">No</th>
- <th rowspan="2">Jenis Kegiatan</th>
- <th colspan="31">Checklist ketuntasan kegiatan per-hari</th>
- <th rowspan="2">Catatan</th>
- </tr>
- <tr>
- <th style="width: 3%">1</th>
- <th style="width: 3%">2</th
- >
- <th style="width: 3%">3</th>
- <th style="width: 3%">4</th>
- <th style="width: 3%">5</th>
- <th style="width: 3%">6</th>
- <th style="width: 3%">7</th>
- <th style="width: 3%">8</th>
- <th style="width: 3%">9</th>
- <th style="width: 3%">10</th>
- <th style="width: 3%">11</th>
- <th style="width: 3%">12</th>
- <th style="width: 3%">13</th>
- <th style="width: 3%">14</th>
- <th style="width: 3%">15</th>
- <th style="width: 3%">16</th>
- <th style="width: 3%">17</th>
- <th style="width: 3%">18</th>
- <th style="width: 3%">19</th>
- <th style="width: 3%">20</th>
- <th style="width: 3%">21</th>
- <th style="width: 3%">22</th>
- <th style="width: 3%">23</th>
- <th style="width: 3%">24</th>
- <th style="width: 3%">25</th>
- <th style="width: 3%">26</th>
- <th style="width: 3%">27</th>
- <th style="width: 3%">28</th>
- <th style="width: 3%">29</th>
- <th style="width: 3%">30</th>
- <th style="width: 3%">31</th>
- </tr>
- </thead>
- <tbody>
- <tr>
- <td>1</td>
- <td class="activity-column">Interior</td>
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- </tr>
- <tr>
- <td>-</td>
- <td class="activity-column">Cabin Pengemudi</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">Bersih</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">Wangi tak sedap</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">Sampah</td>
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- </tr>
- <tr>
- <td>-</td>
- <td class="activity-column">Box</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">Bersih</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">Wangi tak sedap</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">Sampah</td>
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- </tr>
- <tr>
- <td>-</td>
- <td class="activity-column">Kelengkapan Dokumen</td>
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- <tr>
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- <td class="activity-column">STNK</td>
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- <tr>
- <td></td>
- <td class="activity-column">KIR</td>
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- </tr>
- <tr>
- <td></td>
- <td class="activity-column">SIM Pengemudi</td>
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- </tr>
- <tr>
- <td>2</td>
- <td class="activity-column">Exterior</td>
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- </tr>
- <tr>
- <td>-</td>
- <td class="activity-column">Body</td>
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- <tr>
- <td>-</td>
- <td class="activity-column">Mesin</td>
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- <tr>
- <td>-</td>
- <td class="activity-column">Ban</td>
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- <tr>
- <td>-</td>
- <td class="activity-column">Lampu</td>
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- </tr>
- <tr>
- <td>3</td>
- <td class="activity-column">Kelengkapan</td>
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- <tr>
- <td>-</td>
- <td class="activity-column">P3K</td>
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- <tr>
- <td>-</td>
- <td class="activity-column">Segitiga Pengaman Jalan</td>
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- <tr>
- <td>-</td>
- <td class="activity-column">Dongkrak</td>
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- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- </tr>
- <tr>
- <td>-</td>
- <td class="activity-column">Ban Cadangan</td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- </tr>
- <tr>
- <td>-</td>
- <td class="activity-column">Pengganjal Ban</td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- <td></td>
- </tr>
- </tbody>
- </table>
- <div class="instructions" style="display:flex; flex-direction:row; gap: 5rem">
- <div style="display:flex; flex-direction: column">
- <p>Keterangan :</p>
- <p>Beri tanda (V) untuk OK</p>
- <p>Beri tanda (X) untuk Tidak ada</p>
- </div>
- <div class="footer" style="display:flex;flex-direction:row; gap: 6rem">
- <div class="signature">
- <p>Driver,</p>
- <br><br>
- <p><span class="signature-line"></span></p>
- </div>
- <div class="signature">
- <p>Checked by,</p>
- <br><br>
- <p><span class="signature-line"></span></p>
- </div>
- <div class="signature">
- <p>Reported by,</p>
- <br><br>
- <p><span class="signature-line"></span></p>
- </div>
- </div>
- </div>
- </body>
- </html>
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