PT. ANSAF INTI RESOURCES No.

01/WCF/10/F-017
PLANT DEPARTEMENT
JOBSITE PT. BME - LAHAT

CLAIM OF WARRANTY PROPOSAL

REPORT NO : 001/AIR/BME/10/21 WO NUMBER :
REPORT DATE : 11-Oct-21 FAILURE DATE : 11-Oct-21
CLAIM TO : PT. HYUNDAI C I ADDRESS : JAKARTA

FITTED ON MACHINE MAKER MACHINE MODEL COMP NAME COMP MODEL SERIAL NUMBER
EX040-007 HYUNDAI R480LC-9S HYD. HOSE TRAVEL HOSE P930-042072

APPLICATION ENVIRONMENT OPERATION OIL MADE OIL CLASS OIL VISCOSITY

OVER BURDEN TROPICAL MEDIUM - HARD SHELL TELLUS 68 MX
FITMENT TROUBLE
DATE : 16-Sep-21 DATE : 11-Oct-21
HM : 23 HM : 408
LIFE TIME : 25 HARI
Analysis (describe detail of failure, analyse the cause, operating condition) ATTACHED DRAWING OR PHOTOGRAPHS
Trouble : Hose Hydraulic Speed Travel RH Leak
Hystorical :
When the Operator performs of P2H, it was found that there was an oil spill from Under Bottom Cover & Travel
Motor (RH) Case. Then mechanics checked and found a leak from Hydraulic Hose Travel Speed.

Bottom Gurad hit by Material OB

Hose Speed travel leak caused by Pinched

Analisa : Hose leak is caused by pinched bottom cover which is pressed by material (OB) from under the unit

List of Failure Part (Main Part) Reason if not Accepted

PART NAME PART NUMBER
Hose Speed Travel P930-042072

Action Required Date Required :

Claim To : PT. HYUNDAI CONSTRUCTION INDONESIA 11-Oct-21

PROPOSAL STATUS
Nama Vendor: PT. HYUNDAI CONSTRUCTION IND PT. ANSAF INTI RESOURCES - Site PT. BME
DECISION BY RECEIVED BY : APPROVED BY : PREPARED BY :
PLANT MANAGER PLANT SUPERINTENDENT
ACCEPTED Sign :
REJECTED Name : Name : Ahmad Yani
Sign : Sign : Sign :
Name: Holdi
Date :
SUPERVISOR
Name : Sign :
Occupation :
Date : Date : Date :

Name: Mahmudi
Date :
Revisi : 0