C15 Additional Part Bushing Cam Shaft
C15 Additional Part Bushing Cam Shaft
C15 Additional Part Bushing Cam Shaft
Checked by
Approved by
Foreman/Supervis : :
Service Head
or
Component Information
Component Description : BUSHING PCR Schedule Hrs :
Comp Serial No / ID : 216-5582 Comp Hours :
Comp Arr / Gp No : Life Remaining :
Mach Hrs Install : Comp New Price :
Mach Hrs Removed : Cost To Repair :
Date Comp Installed : Cost/Hr Remaining :
Date Comp Failed : 04 Agustus 2021
Supporting Documentation Required
# Description Y/N Comments
1 Installation Check List
2 Repair & Maintenance History
3 SOS History
4 Magnetic Plug Inspections
5 ET/VIMS Data
6 TPMS / Payload Data
7 Performance Test Data
8 Others Y PHOTO
Background / Research: Include all observations made during your Failure Analysis investigation including good and bad
OBSERVATION
Part Number -Name – Modifier Code To Help Explain Progression/Stage of Failure, Use –
(RH/LH/Upper/Lower etc) Notes /Photos/Parts Book Illustration.
Identify Type, Amount, Location of Wear, Deposits,
Damage, Fractures etc.
VIEW OF
VIEW OF
Fig.1
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Fig.6
Fig.7
VIEW OF
BUSHING CAM SHAFT P/N 216-5582
Conclusions (What Caused the Failure):Describe the root cause and the sequence of events that caused it.
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Check SIS for Service Letters and Service Magazines related to this failure. AMT history, MIM’s history, Oil sample results,
please attach supporting documents below.