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Breakdown/Work Permit Slip: Before Attending Breakdown During Breakdown

The document is a breakdown/work permit slip used by a factory to record information about equipment breakdowns. It includes fields to document the breakdown start time, machine number, reason for any delays over 20 minutes, problem description, known root cause, job end time and date, details of work done, spares used, equipment condition after work, and signatures of production and maintenance staff.

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0% found this document useful (0 votes)
79 views

Breakdown/Work Permit Slip: Before Attending Breakdown During Breakdown

The document is a breakdown/work permit slip used by a factory to record information about equipment breakdowns. It includes fields to document the breakdown start time, machine number, reason for any delays over 20 minutes, problem description, known root cause, job end time and date, details of work done, spares used, equipment condition after work, and signatures of production and maintenance staff.

Uploaded by

Umangtarang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Breakdown/Work permit Slip Doc No: BS/PP/T06/v1

Section: Date: Shift: A Department Breakdown / Work Permit Slip No.:

Before Attending Breakdown During Breakdown


Breakdown Start Time : Job Start Time : Response Time (in minutes): 12:00:00 AM
Machine on which breakdown occurred (Machine No.): Reason for delays, if more than 20 minutes:

Problem Description:

Root cause of breakdown, if known:

After Attending Breakdown


Job End Time & Date : 0 Details of job done on the equipment : Spares used:

Equipment Handover Condition :

OK

Partially OK, to be attended within 24 hours

Partially OK, to be attended in next RM / PM

Not OK, to be attended by next shift

Remarks :

Signature of Production Staff Name/Signature of Maintenance Staff

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