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PT.

HUAWEI SERVICES

I. INCIDENT CHRONOLOGY(describe chronology incident based on


PT real condition)
HUAWEI SERVICES – XL MANAGE SERVICE PROJECT

BAD PERFORMANCE/ STOLEN CASE REPORT


Requirement Detail mention On Incident report
Documen
No Material Remark
1 AC Warranty Claim,

1. Incident Detail
Site ID 4294
Site Name Simpang ulim
SITE INSURANCE/NO INSURANCE
Area Mgr / Region ROH Sumut Outer & NAD / WEST
Date/Time Broken
d
Incident (Broken or Stolen) Broken
For request AC ; fill & share
form warranty
Tower property STP
TT / WO & Description :
Work order Installation
Item name /bom CODE See Detail Asset
Quantity : See Detail Asset
Date evidence: 11 Maret 2019
PR no/OWS Number

II. IMPACTED(describe impact of incident)

SITE 4294:
Incident Network

III. DETAIL ASSET(describe detail of asset due incident)

Assert Stolen/Damage After Recovery

Impact Price

(per meter Price Material


NO Asset Name NE System Qty Material ID / unit) Total EWO EWO

1 AC Daikin 1.5PK AC System 1 Unit

Pipe AC 1/4 +
2
3/8
AC System 8 Meter

IV. DOCUMENTATION

Foto material site


Photo evidence Photo 1 ( material on site, photos open door) Photo 2 (material on site, including item)

Before
Installation:

Commercial in Confidence Page 2 of 3


Incident Network

Remark( If Photo
not complete)

After
Installation:

SERIAL Indoor : 7709801330


NUMBER Outdoor : 7295901786
DATE OF
INSTALLATION
SIGNED BY PIC MS PARTNER, PIC FOP - SPV Manager& GM

NOT ALLOWED ELECTRONIC SIGNATURE NOT ALLOWED ELECTRONIC SIGNATURE

Name/ID : Alfonsus Situmorang/00751079 Name/ID :


Date & time : Date & time :

Commercial in Confidence Page 3 of 3

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