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Form for preparation of solid additive mixtures


1. Batch No. : ………………………
2. Batch to be prepared in: 118-TH-221(AX/BX)
3. Grade: Raffia/ Injection Molding/ TQ Film
4. Batch to be prepared for: ………………MT
5. Pre-Checks:
i. Additive Vent Fan started:[FO/PE] (KA-220AX/BX)
ii. Additive Vent Filter started:[FO/PE] (GN-220AX/BX)
iii. Slide valve Open: [PE] (XV-3001/3011)
iv. Mesh present in Additive feed: (Yes/No)
Hopper [FO]

SL Bags
Bag Size Bags dosed
ADDITIVE required Remark
No. (Kg) (Nos)
(Nos)
1. Antioxidant 1010
2. Phosphite 168
3. Calcium Stearate F&T/standard
4. Dihydrotalcite DHT 4A
5. Erucamide F&T
6. Oleamide F&T
7. Silica
6. Additive Details:
#NOTE: Dust mask, gloves and goggles must be worn when charging additives.
7. Post-Checks:

i. Hopper Door closed: [FO] (Yes/No)


ii. Additive Vent Fan Stopped: [FO/PE] (KA-220AX/BX)
iii. Additive Vent Filter Stopped:[FO/PE] (GN-220AX/BX)
iv. Slide valve Closed:[PE] (XV-3001/3011)
v. Agitator Started: [FO/PE] (Slow speed/High speed)

Foreman/Operator Signature with Name


Batch in hopper: ……………………
New Batch Quantity: …………………..
Engineer Signature with Name
Updated Batch Quantity: ………………….
Reset Status: ……………………

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