TECHNICAL REPORT

Mechanic Pump Date

PUMP DATA
Pump Model Pump Serial No. Fleet No. Repair / Failure Date Hourmeter

TRIAL SHAFT SLEEVE & GLAND

KSB DnD 200 5XH 2016112610 EPK 05 5367.8
PACKING PT.WIDYA RAYA SEMESTA

Component Type or Model Serial Number Description of Part Part Number

PUMP DEWATERING SHAFT SLEEVE PS056009323

LOCATION OF WORK / JOB

SOUTH PIT BLOCK D2

DETAILS
Describe of Failure or Problem ( If possible with sketch or phote )

COMPLAINT :

CAUSE :

MAIN PICTURE :

DOKUMENTASI .I

DOKUMENTASI.II

COMMENT, RECOMMENDATIONS AND / OR ACTIONS TAKEN BY SITE MANAGER

Comment and Actions :

Reported by, Date Signature Acknowledged by, Date Signature

Basuki Rahmat 26 Des 2021