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EQUIPMENT DOWNTIME / INCIDENT REPORT ITMS REFERENCE : PLANT NAME : MACHINE NAME : PREPARED BY : SUPERINTENDENT : T.S.

CO-ORDINATOR : Sanjeev Joshi Gerry Neutce Sanjeev Joshi

VANCOUVER_BC

START OF DOWNTIME (YYYY/MM/DD, HH:MM)

END OF DOWNTIME (YYYY/MM/DD, HH:MM)

2012

2012

OPERABILITY FULL STOP DEGRADED MODE NO IMPACT

IF DEGRADED, EXPLAIN THE COMPROMISED STATE (LOW READ, CAPACITY ISSUES, INDUCTION STATIONS):

INCIDENT DESCRIPTION (SEE BACK PAGE FOR DEFINITIONS)

FAULT CATEGORY: SPARE PARTS AVAILABILITY ISSUE (CODE 1)? DESCRIBE THE PROBLEM INCLUDING SYMPTOMS:

SUB-CATEGORY :
YES NO

INCIDENT STATUS WORK IN PROGRESS TEMPORARY FIX IN PLACE, FOLLOW-UP REQ'D FULLY RESTORED

IF WORK IN PROGRESS OR TEMPORARY, PROVIDE REASON AND ESTIMATED TIME TO COMPLETE:

CORRECTIVE ACTION REPLACE REBOOT / RESET ADJUST / CALIBRATE LOCAL ENG. SUPP'T REPAIR / CLEAN 2ND LEVEL ENG SUPP'T (REQUESTED THROUGH APC)

DESCRIBE WHAT STEPS WERE TAKEN TO RESOLVE THE ISSUE:

PREVENTION (TO BE COMPLETED WITH INPUT FROM THE TS COORDINATOR OR SUPERINTENDENT)

WAS THIS DOWNTIME PREVENTABLE FROM A TECH. SERVICES PROSPECTIVE? IF SO, HOW?
NEW OR MODIFIED PM BETTER QUALITY (COMPLETION) ON EXISTING PM MORE FREQUENT PM DEFINITIONS

YES

NO

NEW DIAGNOSTIC TOOLS OR METHODS EQUIPMENT PROTECTION AND/OR MODIFICATION OTHER:

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V4.4

DEFINITIONS

FAULT CATEGORY COMPUTING

ELECTRICAL

FACILITY

MECHANICAL

PRODUCT

OTHER
INSTRUCTIONS

SUB CATEGORY COMMUNICATION HARDWARE SOFTWARE SYSTEMS OTHER ANTENNA BOARD BREAKER CABLE CIRCUIT E-STOP FUSE MOTOR POWER RELAY SCANNER SWITCH/SENSOR WIRES OTHER AIR HVAC POWER OTHER BEARING BELT BUCKET CELL CHAIN ENCODER/FLAG.YOKE FEEDER MOTOR PNEUMATIC PULLEY/GEARS ROLLER STACKER STRUCTURE WHEEL OTHER SPEC/QUALITY/VOLUME MMHE IMPACT OTHER OTHER

OTHER KEY-WORDS (Including but not limited to) Stats PC, Power Supply, Computer, Server, Printer, VAX, Ordinateur PLC, Sort Plan, LARC, Reboot CCS, SPOT, VES, PDSL, Systeme, Frozen, Locked Antenne Circuit, Carte Electronique, Card, CCT Circuit, Disjoncteur Short Button, Bouton, Phantom, Urgence, Indicator, Switch Fusibles Servo, Coupler, Connection, Current, VFD Voltage, Bracket Bar Code, Lecteur, Images Photo, Proximity, Solenoid, Signal Connection, Fils Plant Condensor Surge, Bump, Outage, Failure, Manque, Main Breaker, Flash Water Leak, Elevator Block Drive, Courroie

de la Chaine Encodeur Brise, Ball Joint Alimentent, Pick-off Moteur Air Hose, Valve Reducteur Roleau, Bands, Nub Deviator, Spring, Block, Computer, Circuit Bedding, Welds, Conveyor Alignment, Bearings, Roues Brushes, Track Mono, Fork-lift

1. THIS FORM IS TO BE COMPLETED FOR INCIDENTS GREATER THAN 15 MINUTES IN DURATION (30 MINUTES OUTSIDE OF TORONTO), BY THE PERSON WHO WAS PRIAMRILY INVOLVED WITH ASSESSING, CONTAINING AND CORRECTING THE DOWNTIME INCIDENT. 2. THE SUPERINTENDENT OR DESIGNATED FOREPERSON/LEAD IS RESPONSIBLE FOR REVIEWING THE ACCURACY AND COMPLETENESS OF THIS FORM. 3. THE INITIATOR OF THIS REPORT (WITH SUPERINTENDENT AUTHORIZATION) SHALL FAX THIS FORM TO 613.734.8405 OR EMAIL THIS FILE BY 8:00 AM EST THE FOLLOWING MORNING. 4. ANY "WORK IN PROGRESS" INCIDENT REPORTS MUST BE FORWARDED TO THE NEXT SHIFT (EITHER HARD COPY OR BY EMAIL) TO BE UPDATED AND RESUBMITTED.
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