J.O No.

* : 0
Subject* 0
FIR No.* : 0

Branch * 0 Report Date* December 30, 1899 Customer* 0

Delivery
Serial No. * 0 December 30, 1899
Machine Model* 0 Hourmeter* 0 Date*

Location * 0 Failure Date* December 30, 1899

Attachment * 0 Ground Mileage * 0 km

0 Repair Date* December 30, 1899
Condition*
0 In storage Principle Scraped Missing Re-used
Failure Part
Key Part No.* 0
Status
0
* ) no need to input/ tidak perlu diisi

Job site

Failure Component Serial Number (if available) Failure Component Detail 1

 Failure Component Detail 3

Failure Component Failure Component

Failure Component Failure Component

Failure Component Failure Component

More free spaces for Additional Fotos
 TROUBLE INFORMATION
Register No. Report Date mm/dd/yyyy FIR No.

SUBJECT
:
mm/dd/yyyy
FAILURE
BRANCH : DATE J.O NUMBER :

CUSTOMER : MACHINE MODEL : CLASS :

JOB SITE : MILEAGE: Km SERIAL NO. :

JOB APPLICATION : HOUR METER :

: DELIVERY DATE : mm/dd/yyyy

TYPE OF WORK
DAYS AFTER
GROUND CONDITION : DELIVERY : 0 Days

HANDLING MATERIAL : ATTACHMENT :

MACHINE CONDITION AND STATUS :

BREAK DOWN, since :
Warranty Condition INFORMATION ONLY
Work in disability
Detail of Warranty Status :
-- -- --

Date Failure Description Date Action has been taken

Failure Analysis

Primary Cause

Parts Required
Additional Request (if Required)
Part No. Description Q'ty.

WORK STATUS :
V FINISH PENDING, support needed : Parts Tools Technician Others

Report by : Acknowledge by : Unit RFU on :

KHOIRUL ANAM Supriyanto

Technician CS Supervisor/Foreman mm/dd/yyyy

476163161.xlsx, 05/16/2020