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    FAR FORM

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    of 5

    PRODUCT SUPPORT DIVISION Doc. No.

    :
    Department : Technical Communication TSD.TEC.FRM.001.R00
    Area : Head Office

    Subject FAILURE ANALYSIS REPORT Issued Date


    Owner Status Active

    Trakindo SO : Reported By : RUDI H SAPUTRA


    Original SO : Reported Date : 14 SEPTEMBER 2020

    Checked by
    Approved by
    Foreman / : DEDY FITRIS : DEDY FITRIS
    Service Head
    Supervisor

    (Name and Signature) (Name and Signature)

    SIMS Information
    DEALER EQUIPMENT CUSTOMER PT ANDALAS TERANG
    CODE J216 NUMBER NAME
    NUSANTARA
    TECHNICIAN EQUIPMENT
    DATE
    09 / 14 / 2020 12950 PANGKALAN-KAB.50 KOTA
    IDENTIFICATION LOCATION
    Mo / da / yr
    CATERPILLAR CATERPILLAR INSTRUCTION
    MODEL 329D SERIAL No MNB00215 ENGINE SMOKE EXCESSIVELY AND HIGH OIL
    CONSUMPTION
    HOURS KILOMETERS -

    PART NUMBER PART NAME QTY DESC,* GROUP NUMBER GROUP DID THIS INCIDENT DESCRIPTIVE COMMENTS (20
    RESPONSIBLE CODE CONTAINING NAME MAKE THE PRODUCT SPACES MAXIMUM PER
    PART INOPERABLE INCIDENT)

    PUMP 1 66 305-4678 MOUNTING Yes No INTERNAL FAULT


    GP-PUMP
    GP- FUEL
    FUEL INJECTION
    Yes No
    Yes No

    DESCRIPTION CODES * A – Structural C – Leaks E – System Malfunction G – General Repair K - Serviceability X – Operator
    (Refer SIMS Guidelines : B – Surface D – Factory Assembly F – Factory Shipping H – Adjustment N – Abuse Complaint
    SEBD0850)

    Component Information
    Component Description : PCR Schedule Hrs : CompTarget hrs (ex 12000)
    Comp Serial No / ID : Comp Hours : Current hrs failed (ex 8000)
    Comp Arr / Gp No : Life Remaining : Remain of target life (4000)
    Mach Hrs Install : Comp New Price :
    Mach Hrs Removed : Cost To Repair : (ex $ 10000 )
    Date Comp Installed : Cost/Hr Remaining : (10000 / 4000 = 2.5 $ /hr)
    Date Comp Failed :

    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

    Failure Analysis Report 1 of 5 TSD.TEC.FRM.001.R00


    PRODUCT SUPPORT DIVISION Doc. No.:
    Department : Technical Communication TSD.TEC.FRM.001.R00
    Area : Head Office

    Subject FAILURE ANALYSIS REPORT Issued Date


    Owner Status Active

    Failure Outline:

    Background / Research:

    OBSERVATION
    Part Number -Name – Modifier Code (RH/LH/Upper/Lower To Help Explain Progression/Stage of Failure, Use –
    etc) Notes /Photos/Parts Book Illustration.
    Identify Type, Amount, Location of Wear, Deposits,
    Damage, Fractures etc.

    SERIAL NUMBER UNIT : MNB00215

    ENGINE SERIAL NUMBR : TX710047

    ENGINE HOUR METER : 209

    Failure Analysis Report 2 of 5 TSD.TEC.FRM.001.R00


    PRODUCT SUPPORT DIVISION Doc. No.:
    Department : Technical Communication TSD.TEC.FRM.001.R00
    Area : Head Office

    Subject FAILURE ANALYSIS REPORT Issued Date


    Owner Status Active

    HOUR METER UNIT : 13326

    ENGINE OIL LEVEL LOW (UNDER “ADD” POSITION)


    AFTER ENGINE OPERATION ABOUT 8 HOUR
    ENGINE OIL REDUCE ABOUT 10 LITER

    Failure Analysis Report 3 of 5 TSD.TEC.FRM.001.R00


    PRODUCT SUPPORT DIVISION Doc. No.:
    Department : Technical Communication TSD.TEC.FRM.001.R00
    Area : Head Office

    Subject FAILURE ANALYSIS REPORT Issued Date


    Owner Status Active

    Failure Analysis Report 4 of 5 TSD.TEC.FRM.001.R00


    PRODUCT SUPPORT DIVISION Doc. No.:
    Department : Technical Communication TSD.TEC.FRM.001.R00
    Area : Head Office

    Subject FAILURE ANALYSIS REPORT Issued Date


    Owner Status Active

    Conclusions (What Caused the Failure): Describe the root cause and the sequence of events that caused it.

    Warranty Decision or Recommendation: Please mark X in only one box below.

    Not warranty : Warranty Accepted : ASA Claim* :


    Comments:

    *) Application Severity Analysis

    Solution to Prevent Reoccurrence:

    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.

    Failure Analysis Report 5 of 5 TSD.TEC.FRM.001.R00

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