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FORM TSR depan PT. PAMAPERSADA NUSANTARA
TECHNICAL SERVICE REPORT REPORT NO.
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REPORT DATE
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CODE NUMBER
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WO NUMBER DELIVERY DATE
MACHINE MAKER
APPLICATION
MACHINE MODEL
ENVIRONMENT
ENGINE MODEL
Pay Load (Kg) *
Olie Made **
LOC
COND
CODE UNIT
Material Carri *
Olie Class **
WORK
CARAC
OPER TABLE
Speed (Km/Hrs) *
MAJOR COMP ***
OPERATION
MACHINE S/N
COMPONENT SECTION ***
SUB COMP ***
TROUBLE DATE (dd mm yyyy)
TROUBLE
HM
ENGINE NUMBER
Olie Visc ** SYMPTON ***
KM
CORECTION DATE (dd mm yyyy)
MAIN PART CAUSING TROUBLE PARTS NUMBER
PARTS NAME
LIFE TIME PART
Analysis (Describe detail of failure, analyse the cause, operating condition) ATTACHED DRAWING OR PHOTOGRAPHY
SUMMARY OF FAILURE
DIAGNOSIS CODE ***
REASON CODE ***
ACTION ***
SPECIAL INSTRUCTION
FAILURE CODE ***
NRP
LEVEL
FINDING CODE ***
WORKING PARTNER
LEVEL
MAN HOUR
SUPERVISOR NAME / SIGN
MECHANIC NAME ***
Note : * Only For Wheel type
**: Filled when it's need for analysis
***: Base on WO
Rev. 2015
Page 1
APPLICATION TABLE WORKING CONDITION Heavy Equipment
LOCATION
Truck
- Stock File
- Maint Road
- Dozing
- Excavating
- Up Hill Hauling
- Loading Point
- Secondary Road
- Ripping
- Carrying
- Down Hill Hauling
- Disposal Area
- TPN
- Winching
- Scarifying
- Flat Road Hauling
- Dumping Point
- TPK
- Skidding
- Scrapping
- Others
- Tailling Dam
- Log Pond
- Loading
- Others
- Bench
- Others
- Digging ENVIRONMENT TABLE GROUND CONDITION
GROUND CARRACTER
Heavy Equipment
Truck / Trans Vehicle
- Abrasive
- Hard Rock
- Paved Road
- Corrosive
- Brittle Rock
- Unpaved Even Road
- Contaminative
- Sand & Gravel
- Unpaved Rough Road
- Destructive
- Mars
- Gravel Road
- Others
- Others
- Others
UNIT CODE FOR OPERATION TABLE 10
Bulldozer
20 Rigid Dump Truck
30 Fuel Truck
40 Stone Crusher 41 A. M. P.
11
Dozer Shovel
21 Articulate Dump Truck
31 Water Truck
12
Excavator
22 Primer Truck
32 Lubricating Truck
13
Wheel Loader
23 Logging Truck
33 Crane Truck
14
Motor Grader
24 Dolly & SDT
34 Transportation Vehicle
15
Compactor
35 Genset
16
Drilling Machine
36 Welding Set 37 Air Compressor 38 Water Pump
OPERATION TABLE 01
Ligh Duty Kerja dengan beban sampai 80% dari standar Ability unit dan jam kerja rata-rata dibawah 10 jam / hari
02
Moderate Duty Kerja dengan beban sekitar 90% dari standar Ability unit dan jam kerja rata-rata 12 jam / hari
03
Heavy Duty Kerja dengan beban Full Ability Unit dari jam kerja rata-rata 20 jam / hari
CAUSED TABLE 100
Factory Defect
200
Maintenance Error
300
Operation Error
400
Environment Influence
500
Normal Defective
CORRECTION TABLE A
CORRECTIVE
B
PREVENTIVE
C
IMPROVEMENT
100
Adjustment / Reposition
200
Reinforce
300
Factory Modification
101
Cleaning
201
Schedule Repair
301
Service News
102
Ganti Parts / Component Assy
202
Schedule Overhaul
302
Site Modification
103
Rebuild Parts
104
Kalibrasi
105
Overhaul
106
Others