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i ITM COAL PROJECTS \ ITM ‘STANDARD FORM PT Indo Tambangraya Megah Tbk DEFICIENCY REPORT P.O.No : 96/BE/II/10 Project Name ] Department: | Date Prepared: | Prepared By: Coal Crushing Plant - Mechanical | 27 Mei 2011 Mochammad Irhandi Name of Equipment ‘Component: Contractor : PT WIKA— Forwarder: Belt Cleaner Installation | - Primary Scrapper CV PT Patria Bima PT Patria Bima 01 and CV 02 - Secondary Cleaner 01, CV 02 & CV 05 DEFICIENCIES OBSERVED. 1. Position Mounting Primary Scrapper Belt Cleaner CV 01 is wrong 2. Bolt and Nuts Belt Cleaner CV 01 not Standard 3. Clamp Secondary Scrapper CV 01 must be installed 4. Installation Primary Belt Scrapper CV 02 in side rear Chute 5. Position Mounting Primary Scrapper Belt Cleaner CV 02 is wrong 6. Installation secondary Belt Scrapper CVO5 RECOMMENDED ACTION 1. Change Position Mounting to Front Side and belt conveyor should be tension 2. Using Bolt n Nut Belt Cleaner 3. Setting Position and install Clamp Secondary Scrapper RH/LH CV 01 4. Position Primary Belt Srapper CV 02 Must be Adjust to side Front Chute 5. Change Position Mounting Belt Scrapper CV 02to Front Side and belt conveyor should be tension 6. Belt Conveyor CV 05 Must be tension PT Indo Tambangraya Wegah PMO Office Ventura Building 8 floor, A. Jencral Sucieman Document No, JLR-A Kartni No. 26, Cliandak, Kompick Balixpapan Permal Rev. No. ‘Jakarta 12430, Indonesia Blok L No. 2Batkpapan Date ‘Tss62 21 750 1300 East Kalimantan 76114 F 2462 21 750 4606 T1482 542 440434,440495 Poge2ot4 wir tg co. F 2462542 440434, 440435 ITM COAL PROJECTS STANDARD FORM \ ITM EQUIPMENT INSPECTION REPORT PT Indo Tambangraya Megah Tbk 2. Clamps Secondary Scrapper CV 01 j) Bolt n Nut Clamp Belt Scrapper Clamp Secondary Scrapper CV 01 Position Primary Belt Cleaner 02 PT Indo Tambangraya Megah PMO Office Ventura Buiding & floor, JI. Jendral Sudirmen Document No, JLR.A Kartini No. 28, Clandak, iKomplek Balkpapan Permal | Rev. No. ‘Jakarta 12430, Indonesia Bick L No. 2.8aikpapan T6221 750 4300 East Kalimantan 76114 Date F :+82.21 750 4606 Tr462 642 440434,440435 | Page Sch 4 swawtme.coid F 2462 542 440434, 440435 \ apRaao Pon” NIT PT Indo Tambangraya Megah Tbk DEFICIENCY REPORT 5. Mounting Primary Belt Scrapper CV 02 ee REMARKS: PRIORITY: 1] Immediate 4 "In 1 Week 5 | For Monitoring 2 | In 2 Days In 2 Weeks 6 | Not Necessary Deficiency Rectified By: Date: Z /b- Zo Notes PT indo Tambangraya Mogah PMO Office = | Ventura Buiting 8 tor, deJendra Susman Dozument No. ILRA Kar No. 26, Clanéak, KomplekBatlpapan Perm Rew No Seka 12450, Indonesia Blok L No. 2Balkparan Dae T6221 7504300 East Kalimantan 76114 46221 7504606 T82542 440836 440805 Page sof va ting cd F $628542 440836, 440836

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