POOJA POOJA METAL PROCESSORS Pvt. Ltd.

Deptt: BREAK DOWN SLIP Rev No.: 00

Line/cell: Date: Format No: BD/PMP/MAINT-42

Supevisor/HOD Name: Cell Leader Name :
Equipment :

Time BD Occurred : Sign : Sign :

Time Slip Recv: Time Equipment Started:

Slip Given By Shop Slip received by: Work Done By :

Name: Name: Name :
Sign : Sign : Sign:

Phenomenon / Condition
Production Stoppage Time Minutes :
Spare Part Replacement Yes /No

Describe Countermeasure :

What is your Final Action :

Why did you take above action?

Why 1
Why 2
Why 3
Why 4
Why 5
Kaizen Idea & Schedule :

Why - Why Analysis Done by Shop :

Name: Name : Name : Name :

Sign : Sign : Sign : Sign :

Operator Name : Sign : Date: