FORM TSR depan

PT. PAMAPERSADA NUSANTARA

TECHNICAL SERVICE REPORT

REPORT NO. / / / WO NUMBER
REPORT DATE / / DELIVERY DATE

CODE NUMBER MACHINE MAKER MACHINE MODEL MACHINE S/N ENGINE MODEL ENGINE NUMBER

APPLICATION ENVIRONMENT OPERATION Pay Load (Kg) * Olie Made **

LOC COND CODE UNIT Material Carri * Olie Class **

WORK CARAC OPER TABLE Speed (Km/Hrs) * Olie Visc **

MAJOR COMP *** COMPONENT SECTION *** SUB COMP *** TROUBLE SYMPTON ***

TROUBLE DATE (dd mm yyyy) HM KM CORECTION DATE (dd mm yyyy)

MAIN PART CAUSING TROUBLE

PARTS NUMBER PARTS NAME LIFE TIME PART

Analysis (Describe detail of failure, analyse the cause, operating condition) ATTACHED DRAWING OR PHOTOGRAPHY

SUMMARY OF FAILURE

DIAGNOSIS CODE *** REASON CODE *** ACTION *** SPECIAL INSTRUCTION

FAILURE CODE *** FINDING CODE ***

NRP LEVEL WORKING PARTNER LEVEL MAN HOUR SUPERVISOR NAME / SIGN

MECHANIC NAME ***

Note : * Only For Wheel type **: Filled when it's need for analysis ***: Base on WO Rev. 2015

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APPLICATION TABLE
WORKING CONDITION LOCATION
Heavy Equipment Truck - Stock File - Maint Road
- Dozing - Excavating - Up Hill Hauling - Loading Point - Secondary Road
- Ripping - Carrying - Down Hill Hauling - Disposal Area - TPN
- Winching - Scarifying - Flat Road Hauling - Dumping Point - TPK
- Skidding - Scrapping - Others - Tailling Dam - Log Pond
- Loading - Others - Bench - Others
- Digging

ENVIRONMENT TABLE
GROUND CONDITION GROUND CARRACTER
Heavy Equipment Truck / Trans Vehicle - Abrasive
- Hard Rock - Paved Road - Corrosive
- Brittle Rock - Unpaved Even Road - Contaminative
- Sand & Gravel - Unpaved Rough Road - Destructive
- Mars - Gravel Road - Others
- Others - Others

UNIT CODE FOR OPERATION TABLE

10 Bulldozer 20 Rigid Dump Truck 30 Fuel Truck 40 Stone Crusher
11 Dozer Shovel 21 Articulate Dump Truck 31 Water Truck 41 A. M. P.
12 Excavator 22 Primer Truck 32 Lubricating Truck
13 Wheel Loader 23 Logging Truck 33 Crane Truck
14 Motor Grader 24 Dolly & SDT 34 Transportation Vehicle
15 Compactor 35 Genset
16 Drilling Machine 36 Welding Set
37 Air Compressor
38 Water Pump

OPERATION TABLE
01 Ligh Duty
Kerja dengan beban sampai 80% dari standar Ability unit dan jam kerja rata-rata dibawah 10 jam / hari

02 Moderate Duty
Kerja dengan beban sekitar 90% dari standar Ability unit dan jam kerja rata-rata 12 jam / hari

03 Heavy Duty
Kerja dengan beban Full Ability Unit dari jam kerja rata-rata 20 jam / hari

CAUSED TABLE
100 Factory Defect
200 Maintenance Error
300 Operation Error
400 Environment Influence
500 Normal Defective

CORRECTION TABLE
A CORRECTIVE B PREVENTIVE C IMPROVEMENT
100 Adjustment / Reposition 200 Reinforce 300 Factory Modification
101 Cleaning 201 Schedule Repair 301 Service News
102 Ganti Parts / Component Assy 202 Schedule Overhaul 302 Site Modification
103 Rebuild Parts
104 Kalibrasi
105 Overhaul
106 Others