REPORT FORM FIELD BREAKDOWN / MAINTENANCE 1. Veh. No. 2. Type: ‘3, Date & Time Reported: 4. Who is Reported Te lesa man Pm 30fb J 23 5. Location: 6. Departure Date & Time: 7. Job Attended Date & Time: ‘8. Job Completed Date & Time: Bye 9, PLM wis Arrival Date & Time: | 10. Travelling Kms & Hours: 11. Odometer Reading (Bld 12. Servicing due Kilometer (Bid vehicle}: vehicle): 13. ROP Expiry: 14. RAS Expiry: 15. Odometer Reading (Service 16. Overtime Hours; verse Kms out: Kn 17, Reason for late arrival back to workshop after job done (if any): 18. Workers attended the breakdown job (Name): 1. Mechanic (Main): 2. Mechanic (Asst): w.Tyreman: p 4, Electrician: | 5.Driver, 6, Others (if any): DRIVER [OPERATOR /SUPERVISOR COMPLAINT: Di etens eyed sue rng bs ely, PROBLEM FOUND: DETAIL OF WORK CARRIED OUT: CY ae (OTHER ITEMS J REPAIR NEED ATTENTION: YES/NO cx |FYes, details: O VEHICLES / EQUIPMENT BROUGHT INTO THE WORKSHOP: YES/NO git? IFYes, Reason: \ [Spare Parts used in vehicle: ReRoiing. Ligh Chunyer/: Other details, (it any) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC COMMENTS (IF ANY) ATTENDEES (Service Team Leader) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC | Name: Name: Signe Sonate: (Must be signed ero completion) i = sal Ws FOREMAN | We Suprntendet Name | Nan Signature: | SonateDN Or aU ta REPORT FORM 1. Veh. No. 2. Type: 3. Date & Time Repc 4, Who is Reported Fo | fer Fane ee 30/6/33 5. Location: 6. Departure Date & Time: 7. Job Attended Date & Time: 8. Job Completed Date & Time: Ry Ad ‘9. PLM wis Arrival Date & Time: | 10, Travelling Kms & Hours: 11. Odometer Reading (B/d 12, Servicing due Kilometer (Bid vehicle): vehicle): 13. ROP Expiry: 44, RAS Expiry: 15. Odometer Reading (Service 16. Overtime Hours: vehi Kms out: Kms in: 17. Reason for late arrival back to workshop after job done (if any): 18, Workers atnded te beatdown jb Name} +. Metta Wang 2 Mechane(ss -y. Tyreman: 4, Electrician: 5, Driver: 6. Others [if any): DRIVER JOPERATOR /SUPERVISOR COMPLAINT: PDo Libs sot worry, 2a SAt Nod wae PROBLEM FOUND: DETAIL OF WORK GARRIED OUT: \\ +t (OTHER ITEMS / REPAIR NEED ATTENTION: YES/NO KV Hes, deta: \ a ° VEHICLES /EQUPHENT BROUGHTINTO THE WORKSHOP: YES/NO wt IfYes, Reason: ‘ Spare Parts used in vehicle: acacia PR Lihy © head Lins buth, birt hall, Pook bel Other detais, (f any) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC COMMENTS (IF ANY) ATTENDEES (Senvice Team Leader) DRIVER J OPERATOR | SUPERVISOR | TOOL PUSHER / RIG MECHANIC Name: Name: Signature: Signature: (Must be signed ater job competion) Wis FOREMAN | Wis Superintendent: Name: | Name: | Signature: Signature:FIELD BREAKDOWN / MAINTENANCE batts REPORT FORM 1.Veh. No, : 2. Type: 3. Date & Time Reporte: 4. Who is Reported To 2. Aoki men 30/6/23 5. Location 6, Departure Date & Time: 7. Job Attended Date & Time: 8. Job Completed Date & Tine: Ais led 8. PLM wis Arival Date & Time: | 10. Traveling Kms & Hours: | 11. Odometer Reading (Bid 12. Sencing due Kilometer (8/6 vehi): vehicle): 13. ROP Expiry: 14, RAS Expiy 18, Odometer Reading (Service | 16, Overtme Hours: Veil): Kis out Ks in 47. Reason for lat aval back to workshop ater job done (any): 18. Workers attended the breakdown job (Name): 1. Mechanic (Main); 2. Mechanic (Asst): Tyan: 4. Blectiian: = 5.Diver 6, Others (if any): DRIVER [OPERATOR /SUPERVISOR COMPLAINT: Ae wet workin, PROBLEM FOUND: 4 DETAIL OF WORK CARRIED OUT: i i vert OTHER ITEMS J REPAIR NEED ATTENTION: YES/NO \ ¢L ltYes, details: \ pe VEHICLES / EQUIPMENT BROUGHT IN TO THE WORKSHOP: YES/NO IfYes, Reason: S Parts used in vehicle: —s Blowey mato chymed gl hevul bulb chusw/, Other details, (f any) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC COMMENTS (IF ANY) | ATTENDEES (Service Team Leader) DRIVER J OPERATOR | SUPERVISOR / TOOL PUSHER / RIG MECHANIC Name: Name: Signature: Sionature: | (ust be signed ater job completion} | | Wis FOREMAN | Wis Superintendent Name: | Name ‘Signature: Signature: |FIELD BREAKDOWN / MAINTENANCE REPORT FORM Yak at yt 4.Veh.NO: 2. Tye: 3. Date & Time Reported | 4.Who is Reported 4AYG LowBe) |/5-4-az 5. Location: 6. Departure Date & Time: | 7. Job Attended Date & Time: 8, Job Completed Date & Time WED! LAThRM 9. PLALWis Aival Date & Time: | 10. Traveling Kms & Hours: | 11. Odometer Reading (Bid 12, Servicing due Kilometer (Bid vehicle) vehicle): 13. ROP Expiry. 14, RAS Expiy 15. Odometer Reading (Service | 16, Overime Hours: vehi): Ks out Kms in 17, Reason fr late arrival back o workshop aftr job done (any) 418. Workers attended the breakdown job (Name): 4. Mechanic (Mai 2. Mechanic (Asst -Tyreman 4, lectin: 5. Driver. 6. Others (i any): DRIVER OPERATOR SUPERVISOR COMPLAINT Jy 9 Jj SRA poet gaeken -< Pile GRoken PROBLEMFOUND: = 7 o//P Rew FIT FINO 3 A-Bolt Z777/N: Q_ curling washer Fittih DETAIL OF WORK CARRIED OUT: OTHER ITEMS / REPAIR NEED ATTENTION: YES/NO IFY¥es, details: ‘VEHICLES / EQUIPMENT BROUGHT IN TO THE WORKSHOP: YES/NO lf¥es, Reason: | Spare Pats used in veice: Other details, (any) DRIVER / OPERATOR / SUPERVISOR | TOOL PUSHER / RIG MECHANIC CONMENTS (IF ANY) ATTENDEES (Sone Team Leader) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC Nene SHPFCCK Name: | Signature: | Signature: (Wust be signed after ob completion) ‘Wis FOREMAN, Wis Superintendent: | Name: Name | Signature Sonatue NSe a FIELD BREAKDOWN / MAINTENANCE Jia let ys REPORT FORM 4. Veh. No Type: 5. Date & Tine Reporte 4, Wh is Reported Ta Col PB PRIM move® |/2- 4 —Y: a 5, Location: 6. Departure Dale &Time: | 7. JobAltonded Date & Time: £8. Job Completed Dat & Tine: |WAd (2 p Tham 9. PLM wis Arval Date & Tere: | 10. Traveling Ks & Hours Bs 12, Serving due Klometer lé vebice} 1. ROP Expy: 14 RAS Exp 15. Odometer Reading (Senice | 16. Overtime Hous vet: ks out Kin 47. Reason folate aval back to workshop afer job done (fan 18. Workers allerded te breakdown ob (Name 1. Mechanic (Matin 2Mechanic (Ass; 3.Tyreman: ‘4 Blectciak | some: 6. Others (any): DRIVER /OPERATOR SUPERVISOR COMPLAINT HEBBALIPAT Pssembye-LePr IIe |___ivew pewese - 2 HeApl/Ork PLR ReMeso | PROBLEM FOUND: DETAIL OF WORK CARRIED OUT: OTHER ITEMS / REPAIR NEED ATTENTION: YES/NO IF Yes, dotals: ‘VEHICLES / EQUIPMENT BROUGHT IN TO THE WORKSHOP: YES/NO 1Yes, Reason: ‘Spare Pars used in vehicle: Other deals, (any) DRIVER / OPERATOR // SUPERVISOR / TOOL PUSHER / RIG MECHANIC COMMENTS (IF ANY) ATTENDEES (Senvce Team Leader) DRIVER / OPERATOR / SUPERVISOR TOOL PUSHER / RIG MECHANIC Nom: SETA RY | Name: | ‘Signature: ‘Signature: | | (Must be signed after job completion) Wis FOREMAN ‘Wis Superintendent: | | | Name: | Name: | | Signature: SignatureSOTO PA Aca ate) vate Ui 4.Veh. No.:T lool 2. Type: Pp Qas=P 27M] 3.Date & Time Reported: 4. Who is Reported mo 16-5 29,93, 5. Location 6. Departure Date & Time: | 7, Job Attended Date & Tim: 8. Job Completed Dale & Te: WA PL LATA AM 8. PLM wis Arival Date & Time: | 10. Traveling Kms & Hours: | 11. Odometer Reading (a 12. Servicing due Kilometer (B16 vetiee): FC EF Fo | vie! 18. ROP Exoiye 14, RAS Expiry: 15, Odometer Reading (Service | 16. Overime Hours: vehicle): Kms out Ks in ‘17. Reason for at arival back to workshop ater job done (any) 18. Workers attended the breakdown job (Name): 4. Mechanic (Map 2. Mechanic (Asst): ‘Tyreman: 4. Electrician: 5, Diver: 6. Others (itany): DRIVER /OPERATOR SUPERVISOR COMPLAINT: SS PRI[NG PRSELUM PROBLEM FOUND; WATER @sePRerR poul Wew L/¥t} py DETAIL OF WORK CARRIED OUT: OTHER ITEMS / REPAIR NEED ATTENTION: YES/NO |fYes, details: M ° OO. VEHICLES EQUIPMENT BROUGHT INTO THE WORKSHOP: YES/NO we IfYes, Reason: [seoPron oi (arm Other details, (Fany) yt \ DRIVER | OPERATOR / SUPERVISOR / TOOL PUSHER | RIG MECHANIC COMMENTS (IF ANY) | [ATTENDEES (Service Team Leader) DRIVER / OPERATOR / SUPERVISOR | TOOL PUSHER / RIG MECHANIC vane, Je 3 VI fone WALEED of ‘Signature: | ‘Signature: (Must be signed after job completion) Wis FOREMAN | Wis Superintendent Name: Name Signature: | Signature:FIELD BREAKDOWN / MAINTENANCE Medd hatch REPORT FORM 4.Veh.No.: 7 O 2 Type: 3. Dale & Time Reported: 4 Whois Reported B32) ECWORK 6-5~h3 S.Locatin: OC Qyg) 6. Departure Date & Time: 7. Job Atended Date & Time: 8, Job Completed Date & Time: Ab} LATA fo 9.PLM wis Arival Date & Tine: | 10. Traveling Kms & Hours; | 11. Odometer Reading (Bid 12. Servicing due Kiometer (Bid viieel 239 38 vehicle) 13. ROP Expiy: 14, RAS Expiry 1, Odometer Reading (Service | 18, Overime Hours vehi) Kis out Kms in 417. Reason fr late arrival back to workshop afte job done if any): 18. Workers atlended the breakdown ob (Name: 4. Mechanic (Main) 2. Mechanic (Ass) Tyreman: 4. lection: (_~ 5. Driver: 6. Others (any): DRIVER /OPERATOR SUPERVISOR COMPLAINT: PROBLEM FOUND: Q- s/s! BOT Th ex ew Rprem DETAIL OF WORK CARRIED OUT: ‘OTHER ITEMS / REPAIR NEED ATTENTION: YES/NO IfY¥es, detais: aa VEHICLES / EQUIPMENT BROUGHT INTO THE WORKSHOP: YES/NO IFYes, Reason: \ 0 Spare Parts used in vehicle Other detais, any) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC COMMENTS (IF ANY) ATTENDEES (Service Team Leader) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER / RIG MECHANIC Name SES ~ ko vane “ABZ ‘Signature: ‘Signature: | (Must be signed after job completion) | | -_ Wis FOREMAN | ‘Wis Superintendent: | Name: | Name: Signature: | Signature:FIELD BREAKDOWN / MAINTENANCE bist) Vay) Ui 1. Veh. No. | 2.Type: 3. Date & Time Reported: 4.iho is Reported precise REVworRt, 6-5 -23 5. Location: 6. Departure Date & Time: 7. dob Attended Date & Time: 8, Job Completed Date & Time: WD) LATHAM ‘9. PLM wis Arrival Date & Time: | 10. Travelling Kms & Hours: 11. Odometer Reading (Bid 12. Servicing due Kilometer (Bid vehicle): vehicle): 13, ROP Expiry: 14. RAS Expiry: 15. Odometer Reading (Service 16. Overtime Hours: vehicle): Ks out Kes in: ‘17. Reason for late arrival back to workshop after job done (if any): 18. Workers attended the breakdown jab (Name): 1. Mechanic (Main): 2, Mechanic (Asst): Tyreman: 4, Electrician: S.Diver: 6, Others (if any): DRIVER [OPERATOR SUPERVISOR COMPLAINT: PROBLEM FOUND: DETAIL OF WORK CARRIED OUT: OTHER ITEMS / REPAIR NEED ATTENTION: YES/NO Wes, deta: ak VEHICLES / EQUIPMENT BROUGHT INTOTHE WORKSHOP. YES/NO a Hes, Reason: \ ‘Spare Pars used in vehicle: ° F ert \w | Otter dtas, (any DRIVER / OPERATOR / SUPERVISOR | TOOL PUSHER / RIG MECHANIC COMMENTS (IF ANY) : ATTENDEES (Senvce Team Leader) DRIVER / OPERATOR / SUPERVISOR / TOOL PUSHER /RIG MECHANIC Nam: Senern ArH Name: Signature: Signature: f& (Mus be signe eter job completion) Ws FOREMAN | Wis Superintendent: | Name Name: Signature: | Signature