URGENCY

URGENT NORMAL
MOLD REPAIR FORM DATE :
REPAIR REQUEST INFORMATION

Request by : Production QC PC

Req category : Repair Overhaul Modification Refurbished Others :

M/C No. MOLD DEFECT INFORMATION
Moving Side Fixed Side Cavity No :

Part Name Damage Scratches Slider jam Sprue Bush NG

Cracked Worn Off Ejector jam Water leak

Mold No. Broken Dented Open / Close NG Rust

Details :
Date Issue
PRODUCT / RUNNER DEFECT INFORMATION
Product Runner Cavity No :

Running Shotcount Flashes Dimension NG Sketch / Drawing :

Extra material Sticking

Issued by Tech/ Sup Short mold Gas Mark

Cracked Overpacked
White Mark Oil mark
Verified By I.P.Q.C Burn Mark Sink mark

Surface NG Dented
Gate jam Scratches
Approved by Prod Breaking Others
Ref. Drawing Ref. Sample
Ref. Data Weld Line
Detail:

TOOLING SECTION INFORMATION

Received by Tooling Category Repaired Overhauled Modified Other
Refurbished New Mold Inspected
Cavity Core Cavity No :
Date / Time Repair method Sketch / Drawing :
Parts changed Grinding

Repaired by Tooling Cavity / Core Adjusted Drilling

Machining
Welding

Date / Time Polished

Call Tooling after mould set-up

Checked by Engineer Limit Swith Confirmation

Refer Drawing
Refer Data
Approved by Manager Details :

PART VERIFICATION SECTION For Mold Costing purpose (By Tooling)

Received By & Date
OK NG
Result & Comment Spare parts used:
Appearance
Measured By & Date

100% Measure
Approved By & Date Hours for repair

Not required Starting time:

Approved by Manager
Closing time:

OK OK
MRF ROUTE

P.C. / PRD. / Q.C. TOOL PRD. Q.C. TOOL

FLOW

NG NG
REPAIR/OH

TMM-F-01/00/10July2013

TAKAHATA PRECISION INDIA PVT. LTD.

 Urgency
MOLD OVERHAUL / REPAIR FORM Urgent Normal
Date (If urgent) :
Section 1 Department and Concern information # Mandatory
Issued by : Production QC/QA PC Tool manufacturing/maintenance/Design
Issued for : Overhaul Repair Type change Modification Others
Issued to : Tool maintenance Tool manufacturing/Design
Section 2 4M information # Mandatory
Mold No. : Machine No. : Part name :

Material : Mold temperature : Part No. :

Section 3 Mold defect information - For repair #To be filled by production

Issue date : Problem description :

Issued by tech. :

Approved by :

Abnormality issued : Yes No

Section 4 Last shot / Product defect information - For repair # To be filled by Q.C

Issue date : Problem description :

Issued by :

Approved by QC. :
Cavity No. : Abnormality issued : Yes No

Section 5 For mold overhaul # To be filled by production

Issue date : Improvement need on mold if any :

Issued by tech. :

Approved by prod. : Run shot count : Received by tool dept. :

Section 6 Action done on tool - information # To be filled by tooling

Completion date : Work start date/time : Close date/time : Total work Hrs:
Work done on mold :
Work done by :

Checked by Engineer :
5M 1E change : Yes No Spare part used if any :
Approved by : PCR : Yes No

Section 7 Result verification

# To be filled by issued dept. # To be filled by Q.C
Received by : Date :
Mold condition : OK NG
Product appearance : OK NG
Checked by : Date : Product dimension : OK NG Inspection report attached : Yes
Product approved by Q.C : Yes No No
Approved for molding by :
Checked by : Date :

Approved by : Date :

Flow rout

Product OK OK OK OK OK
Issue dept. status Tool dept. Issue dept. Production Q.C Tool maintenance
(QC)
NG NG NG

NG

Q.C

Revision details
Revision No. Date Content of change Prepared by Approved by
TMM-F-01/01/01Aug2019