No.

PLO/09/F-019
PT. Saptaindra Sejati TECHNICAL INFORMATION
Plant Operation Dept. Analysis Of Problem

.
V DILAKSANAKAN SENDIRI HANYA SEBAGAI INFORMASI

JOBSITE REPORT NO. REPORT DATE CLAIM PROPOSAL NO. CLAIM PROPOSAL DATE WO NO. RELATED
SERA
(No./Site Code/TI/NRP Mech/Year) (dd-mm-yy)
.
UNIT MODEL UNIT CODE NO. COMPONENT NAME TROUBLE DATE (ddmyy)
C A T 7 7 7 E D T 0 9 0 - 0 4 6 1 ELECTRICAL SYSTEM 03 MARET 2023
CHASSIS NO. ENGINE MODEL COMPONENT CODE * ACTION DATE (ddmmyy)
K D P 0 0 7 2 4 C 3 2 8 0 0 0 03 MARET 2023
SMR (HM/KM) ENGINE SERIAL NO. COMPONENT LIFETIME STANDARD LIFETIME FINISH DATE (ddmmyy)
2 1 4 3 3 D L T 0 0 6 9 7 1 1 4 3 3 8 0 0 0 03 MARET 2023
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SYMPTOM
HORN ABNORMAL
MAIN PART CAUSING THE PROBLEM (PART NO.) PART NAME BRAND
316-2372 KIT-BRUSH CATERPILLAR
FAILURE CODE **
Bent (Bengkok) V Broken (Rusak) Cracked (Retak) Leaking (Kebocoran) Shorted (Koresleting) Worn Abnormal
(Keausan Abnormal)
REPORT SUDAH HARUS DIBUAT MAKSIMAL 2 HARI DARI AWAL BREAKDOWN (UNTUK KEPERLUAN CLAIM)

Blocked (Buntu) Burnt (Terbakar) Dirty (Kotor) Twisted (Melintir) Other :

Low Power(Kurang Tenaga)

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ANALYSIS ( Uraikan detail kerusakan,data pendukung, Root Cause Analysis, LAMPIRKAN Foto & Gambar, Jika tidak mecukupi gunakan Continuation Sheet)

CAUSE **
Mis Assembly (Salah Pemasangan) Bad Material (Material Buruk) Mis Application (Kesalahan Aplikasi) Bad Infrastructire (Infrastruktur Buruk)

Poor Torque (Torsi Lemah) Mis Maintenance (Salah Perawatan) Mis Operation (Kesalahan Operasi) Fatigue Fracture (Patah Lelah)

Bad Welding (Pengelasan Buruk) Mis Adjustment (Salah Penyetelan) Over Loaded (Kelebihan Beban) Out Of Adjustment (Kurang Penyetelan)

Poor Durability (Daya Tahan Lemah) Substandard (Kualitas dibawah standar) Dirty Fuel (Bahan Bakar Kotor) V Other : LIFETIME

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CORRECTION MADE **
Repair (Perbaikan) Replace Comp Assy Calibration (Kalibrasi) Warranty Claim Reinforce (Penambahan
Retorque (Pengencangan
Material)
Ulang)

Adjust (Penyetelan) V Replace Part (Ganti Part) Out Site Repair (Perbaikan Site Modif (Modif Internal) Other :
Rebuild (Membangun Ulang)
External)

REMARK ** EFFECTIVE REPAIR DURATION

V Finish Not Finish , Due To:……………………………. 0 0 2 hours

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Prepared By: Checked By: Approved By:
NRP MECH LEVEL CHECKED DATE: APPROVED DATE:

MECHANIC NAME: GROUP LEADER/SUPERVISOR NAME: SECTION HEAD NAME:

SIGN: SIGN: SIGN:

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Note :
* Diisi sampai level terendah sesuai ellipse.
** Diberi tanda V untuk option yang dipilih.
diisi oleh Group Leader/Supervisor/Planner. Page 1 of 2
 REPORT SUDAH HARUS DIBUAT MAKSIMAL 2 HARI DARI AW

Revisi : 1
 No. PLO/09/F-019
PT. Saptaindra Sejati REPORT NO.
Plant Operation Dept.
TECHNICAL INFORMATION I

CONTINUATION SHEET
(No./Site Code/TI/ NRP Mech/Year)

UNIT MODEL C A T 7 7 7 - E CHASSIS NO. K D P 0 0 6 8 3

UNIT CODE NO. D T 0 9 0 - 0 4 3 6 COMPONENT NAME ELECTRICAL SYSTEM

ANALYSIS (Penjelasan Tambahan, Data Pendukung, Root Cause Analysis, dan Rekomendasi Preventive Action)
REPORT SUDAH HARUS DIBUAT MAKSIMAL 2 HARI DARI AWAL BREAKDOWN (UNTUK KEPERLUAN CLAIM)

PHOTOGRAPH & DRAWING

Page 2 of 2

Revisi : 1
 No. PLO/09/F-019
PT. Saptaindra Sejati REPORT NO.
Plant Operation Dept.
TECHNICAL INFORMATION
26/11/TI/0115011/2015
CONTINUATION SHEET
(No./Site Code/TI/ NRP Mech/Year)

UNIT MODEL H D 4 6 5 - 7 R CHASSIS NO.

UNIT CODE NO. D T 0 5 5 - 0 1 3 1 COMPONENT NAME

ANALYSIS (Penjelasan Tambahan, Data Pendukung, Root Cause Analysis, dan Rekomendasi Preventive Action)
REPORT SUDAH HARUS DIBUAT MAKSIMAL 2 HARI DARI AWAL BREAKDOWN (UNTUK KEPERLUAN CLAIM)

PHOTOGRAPH & DRAWING

Page 2 of 2

Revisi : 1