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ROUTlNG

CATERPILLAR SERVICE REPORT


01-084391-11 (3900)

DEALER STORE NO WORK SEG CUSTOMER


CODE ORDER NAME

DATE
/ / EMPLOYEE
IDENTIFICATION
✓ IF
EQUIPMENT
LOCATION

CATERPILLAR SERIAL NON-CAT INSTRUCTIONS,


MODEL NO.

HOURS MILES KILOMETERS

✓ IF MADE ✓ IF
PART NUMBER ✓ IF DESC: GROUP NUMBER ✓ IF
PART NAME QTY. GROUP NAME PRODUCT DURABILITY DESCRIPTIVE COMMENTS
RESPONSIBLE NON-CAT CODE CONTAINING PART NON-CAT
INOPERABLE ISSUE

A- Structural C - Leaks E - System Malfunction G - General Repair K - Serviceability x - OPERATION


DESCRIPTION CODES·- B - Surface 0- Factory Assembly F - Factory Shipping H - Adjustment N - Abuse COMPLAINT

RELATED SERIAL NUMBERS COMPONENT ARRANGEMENT LABOR MAN


TEST/SERIAL NUMBERS CODE DESCRIPTION
HOURS
CATERPILLAR OEM PRODUCT
MODEL SERIAL NO. MAKE/MODEL COMPONENT. NUMBER .
.
VEHICLE.CONFIGURATION
.

DELIVERY DATE OF .
DATE LAST LABOR

WHAT WAS THE


CUSTOMERS' COMPLAINT?

ADDITIONAL COMMENTS ON
THE CAUSE OF FAILURE?

WHAT WAS THE


RESULTANT DAMAGE

HOW DID YOU


REPAIR IT?

CUSTOMER SERVICEMAN
SIGNATURE SIGNATURE
IF COPY OF THIS IS BEING SENT
TO CATERPILLAR, COMPLETE DEALER STORE
FOLLOWING

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