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SERVICE BOOK

TRUCK MIXER PUMP


TRUCK MOUNTED CONCRETE PUMPS

Via Stati Uniti d'America 26/B


20030 - SENAGO (MI)
TEL. 02.990131 - mail: SERVICE@CIFA.COM
PAGE INTENTIONALLY LEFT EMPTY

Check Book – Rev.1_05/2010


Pag 3/7
RAPPORTO ISPEZIONE PERIODICA

General notes

1) This Service Book includes:

• Introduction
• Basic machine data
• 1 Free Service Coupon
• 10 Annual Service Coupons.

2) The Service Book must accompany the machine throughout operation and must be
kept carefully in order to avoid possible damage.

3) The sheets of the "Free Service Coupon" and "Annual Service Coupon" must be
compiled correctly, completely and legibly. They must be signed by the workshop
technician and countersigned, as confirmation of the service and any repairs
performed, by the customer who owns the machine.

4) The sheets of the "Free Service Form" and "Annual Service Forms" must be compiled
in triplicate, with a signature on the original, of which:

- the original must remain with the customer who owns the machine and inserted in the
Service Book;

- one copy must be filed by the Authorised Workshop which has carried out the service;

- one copy must be sent, by the Authorised Workshop which has carried out the service, to
the After-Sales Service Dept. of Cifa SpA.

5) The pump identification plate must be punched after every single check in the space
provided.

Check Book – Rev.1_05/2010


Pag 4/7
RAPPORTO ISPEZIONE PERIODICA

Introduction
The purpose of the "Free Service Coupon" and those of the "Annual Service" is to ensure
the thorough and expert maintenance which is essential for safe, regular and satisfactory
operation of the machine and for promptly remedying any faults.

Important
The "Free Service Coupon" and the "Annual Service Coupons" are drawn up by the
manufacturer. Failure to use the same may jeopardise safe use of the machine.

For correct use of the "Free Service Coupon" and the "Annual Service Coupons", we
would like to draw the attention of those concerned to the following:

FREE SERVICE COUPON (during the first six months of use)

• All Cifa Authorised Dealers, both in Italy and abroad, perform the operations listed on the
form.
The customer is responsible for supplying consumables such as lubricants, cartridges and
filters.
• If, during performance of the operations listed on the coupon, work should be required
which is not included, the general warranty regulations will be applied.
• Any forms not used during the first six months of operation of the machine, included in
the warranty period, are no longer valid.

WARNING FOR CIFA AUTHORISED DEALERS


The "Free Service Forms" which do not bear all the information required and the
customer’s signature will be rejected by our control staff. The Cifa Service
Workshops must also certify by a stamp and signature in the space provided that the
work has been performed.

Check Book – Rev.1_05/2010


Pag 5/7
RAPPORTO ISPEZIONE PERIODICA

Paid Annual Service

• All the Cifa Authorised Workshops and Dealers, both in Italy and abroad, carry out the work
stated in the Service Book;
• the customers, responsible for the calls for service, must request an inspection before hand
(approximately one month in advance) and make the machine available for the time required
for the work;
• the inspection mainly consists of a visual and functional check designed to ensure safety
and regular operation of the machine.

The inspection includes:


a) a check on the parts and structural components in relation to: damage, wear,
corrosion or other alterations;
b) check on full installation and efficiency of the safety devices;
c) check that the technical data of the machine correspond to those indicated on the
sheet “Basic data of the concrete pump and distribution boom.
d) check that regular maintenance has been carried out;
e) check that the Instructions and Maintenance Manual is complete and legible.

• The results of the checks must be indicated on the service coupon, stamped by the
Cifa Workshop technician and by the customer who owns the machine;

• if during inspection any fault is noted and indicated, the customer must give approval
for the necessary repairs.

Check Book – Rev.1_05/2010


Pag 6/7
RAPPORTO ISPEZIONE PERIODICA

BASIC DETAILS OF THE CONCRETE PUMP AND DISTRIBUTION BOOM

A – Concrete pump:
Model: _____________________________________ Year of manufacture: ____________________

Serial N°.: ______________________ Max. pressure in the hydraulic system: ______________________ bar

Max. concrete pressure: ___________________________ bar

Notes ( changes, special features etc.): ________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

B - Concrete distribution boom:

Model:_____________________ Serial no.: ______________ Year of manufacture: _________________

Max. horizontal range: _______________metres

Max. concrete pipe diameter: ____________mm Max. pipe thickness: ______________mm

End rubber pipe diameter______________mm length: ______________ mm

Max. pressure in the hydraulic system: __________________ bar

Notes ( changes, special features etc.): ________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

C - Chassis:

Brand and model :________________________________ Chassis serial no.: __________________________

Year of manufacture: _____________________________

Notes ( changes, special features etc.): ________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Check Book – Rev.1_05/2010


PERIODIC INSPECTION REPORT

Free Service Coupon


See introductory instructions

Company/Owner: Form completion date

Machine model Serial no. Delivery date Hours of pumping

Checks and inspections:

Check on oil level

Inspection of lubrification system

Check on working pressures

Check on bolt torque

Check on hydraulic pipes

Check on working of safety devices

Check on installation and legibility of plates: safety, control, identification

Visual check of structures and welds:

Base chassis and lower turret

Distribution boom turret

Sections and joints of the boom

Notes:

Customer approval Authorised workshop


Legible signature Stamp and legible signature

• 1 copy of this coupon must be signed at the foot and kept by the Authorised Workshop
• 1 copy of this coupon must be countersigned at the foot and sent to the offices of CIFA Spa
Check Book – Rev.1_05/2010
PERIODIC INSPECTION REPORT

PAGE INTENTIONALLY LEFT EMPTY

• 1 copy of this coupon must be signed at the foot and kept by the Authorised Workshop
• 1 copy of this coupon must be countersigned at the foot and sent to the offices of CIFA Spa
Check Book – Rev.1_05/2010
Page 1/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.1

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.2

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.3

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.4

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.5

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.6

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.7

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.8

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.9

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 1/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Customer

Company Postal Authorized


name code workshop

Headquarters Tel. Headquarters

Verifications – Results of inspection

NO Defects O Defects (see list) O

Requested re- Stop operation


O O
inspection (Machinery unfit)

Date of re-inspection

Component Defect Prob. Notes Key


Resol.
code
100 – Documents 00 regular
01 cracked
101. Use and maintenance 02 broken
manual 03 leaks
102. Replacement parts manual 04 non-functioning
05 early wear
200 – Front right outrigger 06 worn away
201. Safety lock 07 chipped
08 corroded
202. Outrigger housing 09 painting
203. Outrigger structural work 10 punctured
11 scratched
204. Pin 12 bent
13 noisy
205. Cylinder for outrigger 14 vibrations
rot./retraction 15 other
206. Cylinder for lifting outrigger 16 porous
207. Outrigger foot 17 burned out
18 slow
300 – Front left outrigger 19 jammed
20 cut
301. Safety lock 21 dirty
302. Outrigger housing 22 disconnected
23 overheated
303. Outrigger structural work 24 deformed
304. Pin 25 loose bearing
26 not lubricated
305. Cylinder for outrigger 27 not legible
rot./retraction 28 part missing
306. Cylinder for lifting outrigger 29 hydraulic defect
30 electrical defect
307. Outrigger foot 31to be re-inspected

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 2/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
400 – Back right outrigger 00 regular
01 cracked
401. Safety lock 02 broken
03 leaks
402. Outrigger housing 04 non-functioning
403. Outrigger structural work 05 early wear
06 worn away
404. Pin 07 chipped
08 corroded
405. Cylinder for outrigger 09 painting
rot./retraction 10 punctured
406. Cylinder for lifting outrigger 11 scratched
12 bent
407. Outrigger foot 13 noisy
500 – Back left outrigger 14 vibrations
15 other
501. Safety lock 16 porous
17 burned out
502. Outrigger housing 18 slow
19 jammed
503. Outrigger structural work
20 cut
504. Pin 21 dirty
22 disconnected
505. Cylinder for outrigger 23 overheated
rot./retraction 24 deformed
506. Cylinder for lifting outrigger 25 loose bearing
26 not lubricated
507. Outrigger foot 27 not legible
28 part missing
600 – Frame 29 hydraulic defect
601. Frame 30 electrical defect
31to be re-inspected
602. Frame mounting
603. Outrigger plates
700 – Turret
701. Turret

702. Ferrule

703. Sub-turret

704. Gear motor


705. Fifth wheel
706. Fifth wheel mounting
707. Rotation limit switch
708. Rotation speed
709. Gear motor (Brake funct.)

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 3/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
800 – Boom 00 regular
01 cracked
1st articulation 02 broken
03 leaks
801. Connecting rod 04 non-functioning
05 early wear
802. Triangle
06 worn away
07 chipped
803. Pins/ bushings
08 corroded
804. Cylinder
09 painting
10 punctured
805. Lockout valve 11 scratched
12 bent
806. Hydraulic lines 13 noisy
14 vibrations
2nd articulation 15 other
16 porous
807. Connecting rod 17 burned out
18 slow
808. Triangle
19 jammed
809. Pins/bushings
20 cut
21 dirty
810. Cylinder 22 disconnected
23 overheated
811. Lockout valve 24 deformed
25 loose bearing
812. Hydraulic lines 26 not lubricated
27 not legible
3rd articulation 28 part missing
29 hydraulic defect
813. Connecting rod 30 electrical defect
31to be re-inspected
814. Triangle

815. Pins/bushings

816. Cylinder

817. Lockout valve


818. Hydraulic lines
4th articulation
819. Connecting rod
820. Triangle

821. Pins/bushings

822. Cylinder

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 4/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
823. Lockout valve 00 regular
01 cracked
824. Hydraulic lines 02 broken
5th articulation 03 leaks
04 non-functioning
825. Connecting rod
05 early wear
826. Triangle 06 worn away
827. Pins/bushings
07 chipped
08 corroded
828. Cylinder 09 painting
829. Lockout valve 10 punctured
11 scratched
830. Hydraulic lines 12 bent
1st Section 13 noisy
14 vibrations
831. Structural work
15 other
832. Piping supports 16 porous
17 burned out
833. Fixed hook
18 slow
834. Rests 19 jammed
20 cut
835. Section speed
21 dirty
2nd Section 22 disconnected
836. Structural work
23 overheated
24 deformed
837. Piping supports 25 loose bearing
838. Fixed hook 26 not lubricated
27 not legible
839. Rests 28 part missing
840. Section speed 29 hydraulic defect
30 electrical defect
3rd Section 31to be re-inspected
841. Structural work

842. Piping supports

843. Fixed hook

844. Rests

845. Section speed

4th Section
846. Structural work
847. Piping supports
848. Fixed hook
849. Rests

850. Section speed

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 5/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Component Defect Prob. Notes Key


Resolv.
code
5th Section 00 regular
851. Structuralwork 01 cracked
02 broken
852. Piping supports
03 leaks
853. Fixed hook 04 non-functioning
854. Rests 05 early wear
06 worn away
855. Section speed
07 chipped
856. Actuator 08 corroded
6th Section 09 painting
10 punctured
857. Structural work
11 scratched
858. Piping supports 12 bent
859. Fixed hook 13 noisy
860. Rests
14 vibrations
15 other
861. Section speed 16 porous
900 – LSC pipes 17 burned out
901. LSC pipe (straight)
18 slow
19 jammed
902. LSC pipes (curved/shaped)
20 cut
903. Joints 21 dirty
904. End stops 22 disconnected
23 overheated
905. End hose
24 deformed
906. Reduction 25 loose bearing
1000 – Main hydraulic comp. 26 not lubricated
27 not legible
1001. Boom distributor
28 part missing
1002. Boom pump 29 hydraulic defect
1003. Max. Pressure valve boom 30 electrical defect
1004. Maximum pressure valve 31to be re-
pump inspected
1005. LSC pumping pump
1006. Hydraulic Lines
1007. Lubrication exchange valve

1100 – Power take-off


1101. Cardanic shaft
1102. Auxiliary motor
1103. Coupler

1200 – Hopper

1201. Hopper grille

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 6/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

1202. Agitator

Component Defect Prob. Notes Key


Resolv.
code
1203. Agit. shut-off when grille opens 00 regular
01 cracked
1204. Vibrator 02 broken
1205. Secure grille 03 leaks
04 non-functioning
1206. LSC level sensor 05 early wear
1207. Secure hatch 06 worn away
07 chipped
1208. S valve 08 corroded
1300 – Hydraulic components 09 painting
10 punctured
1301. Water pump 11 scratched
1302. High pressure water pump
12 bent
13 noisy
1303. Water tank 14 vibrations
15 other
1400 – General safety 16 porous
1401. Railing stairs 17 burned out
18 slow
1402. Coverage of all moving parts
19 jammed
1403. Coverage of all high 20 cut
temperature areas 21 dirty
1500 – Electrical controls 22 disconnected
23 overheated
1501. Control panel 24 deformed
1502. Emergency stop 25 loose bearing
26 not lubricated
1503. Cables / cabling 27 not legible
1504. Controls (remote/radio) 28 part missing
29 hydraulic defect
1600 – Plates 30 electrical defect
31to be re-
1601. Identification plate
inspected
1602. Danger signs
1603. Prohibition signs
1604. Control identification signs

1700 – Specific part Magnum


1701. Rear scaffold/ roller conveyor

1702. Scaffold for reducer


1703. Mounting reducer drum
1704. U-bolts for anchoring

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 7/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

Was the machine suitable for operation on the date of the inspection?
Yes □ No □
Authorized Workshop
stamp and signature For acknowledgment: the Customer (signature)
.
Place
ATTACHED TO INVOICE:

Date

“CIFA reminds you that prompt, proper maintenance is indispensable to ensure the machine’s
efficiency, reliability, and long life; the end user should also carefully follow the scheduled
maintenance table and the use and maintenance manual.”

All problems were resolved, with the exception of:

as this was not authorized by the


Customer.
Authorized workshop Acknowledged: the Customer
stamp and signature

Place

Date

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop
Page 8/8
ANNUAL SERVICE COUPON no.10

Delivery date Machine Hours of


registration no. pumping

Machinery model Boom registration m³ pumped


no.

PAGE INTENTIONALLY LEFT EMPTY

Always enter the defect code (example 02 for broken part), do not enter an x.

Original: log book / 1st copy manufacturer / 2nd copy: seller/importer / 3rd copy : workshop

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