PT.
ANSAF INTI RESOURCES
BME MINING COAL PROJECT LAHAT - SUMSEL
PLANT DEPT
CLAIM OF WARRANTY REPORT
REPORT NO / No Laporan : 03 WO NUMBER / Nomor WO :
REPORT DATE / Tgl Laporan : 01 Maret 2023
CLAIM TO / Klaim Kepada : LIUGONG INTRACOPENTA
CODE NUMBER MANUFACTURER MACHINE MODEL SERIAL NUMBER ENGINE MODEL ENGINE SN.
DT060-023 GUANGXI LIUGONG MACHENERY DW90A LGCDW90ALMC002177 YC6K480-GT30
JOB SITE DELIVERY DATE WORKING AREA APPLICATION OIL VISCOSITY OIL CLASS
BME 8-Apr-22 OB Dumptruck - -
TROUBLE DESCRIPTION / Uraian Kerusakan : Tensioner Broken
FAILURE DATE / Tanggal Kerusakan : 06 Maret 2023
S M R (HM/KM) - FAILURE / HM atau KM Unit Waktu Rusak : 3081
FITMENT DATE / Tanggal Pemasangan (Utk Komponen yang rusak ) :
S M R (HM/KM) - FITTMENT / HM atau KM Unit Waktu Pemasangan :
LIFE TIME COMPONENT / Umur Komponen :
Analysis (describe detail of failure, analyse the cause, operating condition) ATTACHED DRAWING OR PHOTOGRAPHS
Analisa (Uraian datail kerusakan, analisa penyebab, kondisi pengoperasian) Lampiran Gambar atau Photo
FOTO COMPONENT :
1. Tensioner Broken
Action Taken / Tindakan yang diambil :
Pembuatan Report Kerusakan, Pengorderan part yang rusak, Progress warranty claim tensioner
List of Failure Part/Component - Daftar Part/Komponen yang rusak
No P/N Desc Qty
1 SP223671 Multi wedge Tensioner Assembly 1
PART ORDERING
YES : NO :
PO No. :
Tanggal: 06 Februari 2023
Action Required / Comment - Tindakan yang dibutuhkan / Komentar Date Required / Tanggal Dibutuhkan :
As Soon As Possible
PT.Ansaf Site BME Sptd.Plant PT.Ansaf Site BME Plant Manager (Head Office)
Lahat Lahat
Project Manager / Deputi PM PT.Ansaf Site BME Lahat
Ahmad Dafi HOLDI Name / Nama : SUNARYA Name / Nama : Gede Arya Rachman
Sign / Tanda Tangan : Sign / Tanda Tangan : Sign / Tanda Tangan :