OFFSITE REPAIR SCOPE OF WORK Menbe ct nha ose This document to be used for sending equipment's or components offsite Repair ‘This document must be laminated and secured to the omponent being sent for rey Unit No. Dr0660 WONo.| 1610432519 Project / Site RP Unit Model Brand WC No Manufacture | KOMATSU (if warranty) Component | FRONT AXLE PRNo PO No Description HO785-7 ‘Comp. Job Priority Comp. hours J Serial (ED, WRTY, Travel hours (it Number PMR, PREP, valeba) REFURB) Component Repair Information 1 Old core return OEM/Vendor 1 Old Core Return PSF CD Repair Return to Site Component Failure Detail CERTIFICATION STAND FRONT AXLE LH HD785-7 _ Detail Job Instruction: - CERTIFICATION NOT LOAD TEST STAND COMPONENT = DOCUMENT CERTIFICATION / REPORT “Any picture atlached on the 2 page = i Bay Pamangkas AR - ( Hanne) ( ebeneation Supv) Approved by, Vs w hus (Maintenance Supt / Mgr ) ‘Once printed this document becomes uncontlled_ Refer Perosea in Fom Ne, PTP-AWG-FO-G-0062 Rev No, 3 Tor coniroled copy, ToteOFFSITE REPAIR SCOPE OF WORK ¥// PETROSEA Photos from view 1 sides ‘Once printed his document becomes uncortiolied_ Refer to Petosea inane! for controlled copy Fomine, PTP-ANG-FO-G-0052 Rev No.3) zo