CUMMINS REPORT OF NEW ENGINE INSPECTION

COUNTRY OF DOMICILE CLAIM DATE ENGINE APPLICATION AUTOMOTIVE MARINE (DIA) MARINE (REC) MARINE (COM) GENDRIVE (S/BY) GENDRIVE (PRIME) FIRE PUMP GENSET (S/BY) GENSET (PRIME) OTHERS 0.1.3

INDONESIA
0.1.1 0.1.2

TRANSIT BUS INDUSTRIAL

CLAIM DATA
DIST. CLAIM NO DISTRIBUTOR CODE DISTRIBUTOR/DEALER REPAIR NO. ENGINE SERIAL NO.

DEALER CLAIM NO.

1.1.1

DEALER CODE

1.1.2

PAY CODE

ACCOUNT CODE

1.1.3

1.1.4 MARINE INST. REVIEW & SEA TRIAL REPORT ATTACHED ? YES NO 1.2.5

I
1.2.1 1.2.2 1.2.3

15
1.2.4

TOTAL CLAIMED AMOUNTS

STD. LABOR HRS LABOR AMOUNT TRAV. AMT OTHER (EXPLAIN) TOTAL

2.1.1

2.1.2

2.1.3

2.1.4

2.1.5

INSPECTION DATA
WARRANTY START DATE MILES KILOMETERS HOURS ENGINE MODEL

3.1.1 DATE OF INSPECTION

SEVERITY CODE

3.1.2

FAILURE CODE

3.1.3

TRAVEL TIME (HOURS)

3.1.4

TRAVEL DISTANCE

3.1.5

UM / SA / LE
3.2.1 3.2.2 3.2.3 3.2.4 3.2.5

CUSTOMER DATA
NAME ADDRESS TEL: FAX: 4.1.1 4.1.2 4.1.3

APPROVAL
DEALER DISTRIBUTOR OTHERS (RSM)

PT. ALTRAK 1978 - INDONESIA

5.1.1 5.1.2 5.1.3

EQUIPMENT DATA
MANUFACTURER MODEL/SERIES/SPEC S/N CONFIG STATUS NEW USED (REPOWER) 6.1.1 6.1.2 6.1.3 6.1.4

PARTS DETAIL
MAKE/MODEL 7.1.1 PART NUMBER 7.1.2 DESCRIPTION FUEL PUMP TURBOCHARGER (1) TURBOCHARGER (2) STARTER MOTOR CHARGING ALTERNATOR GOVERNOR/ECM AIR COMP/RAW WATER PUMP FAN BELT P/N OTHER BELT P/N AIR FILTER P/N LUB. OIL FILTER (FF/COMBO) P/N WATER FILTER P/N 7.1.3 SERIAL NUMBER 7.1.4 REMARKS FP CODE 7.1.5

7.2.1 ALTERNATOR BELT P/N

OTHER BELT P/N

7.2.2

FUEL FILTER P/N

7.2.3

LUBE. OIL FILTER (BY-PASS) P/N

7.2.4

DCA UNITS

7.2.5

7.3.1

7.3.2

7.3.3

7.3.4

7.3.5

NEW ENGINE INSPECTION CHECKLIST

ENGINE SERIAL NO. 8.1.1 ENGINE MODEL 8.1.2

1. MARK WARRANTY START DATE ON ENGINE DATA PLATE 2. CHECK BEFORE STARTING ENGINE (ADJUST AS REQUIRED)
Engine and Accessory Mounting Fuel, Lube Oil, or Coolant Leakage Fuel System Installation Lube Oil System Installation and Lube Oil Level Air Cleaner Engine Breather All Belt Tensions Hydraulic Governor Oil Level (Gensets)

3.

CHECK WHILE OPERATING ENGINE

For Unusual Noises Throttle Operation Fuel, Lube Oil, or Coolant Leakage Operating of Gauges and Safety Controls Lube Oil Pressure Engine Performance Air Induction System Check and Adjust Generator Voltage (Gensets) Check and Adjust Generator Frequency (Gensets)

4.

INSTRUCT OWNER IN
Changing Fuel and Lube Oil Filters Changing Oil Use of Proper Fuel Oil and Lubricating Oil Operating Temperature Starting and Stopping Procedure Damages Caused By Over Speeding Use of Corrosion Inhibitor and Antifreeze Use of Cold Starting Device Air Cleaner Maintenance Belt Maintenance Warranty Coverage

REMARKS:
THE INSPECTION HAS BEEN PERFORMED AND THE CUSTOMER OR HIS REPRESENTATIVE HAS BEEN INSTRUCTED AS LISTED ABOVE

INSPECTION CARRIED OUT BY:

V

DATE:

WITNESS/CERTIFIED BY OWNER/CUSTOMER REPRESENTATIVE:

8.2.1

RECORD WITH AT MAXIMUM POWER/FULL THROTTLE

ENGINE SPEED FUEL RAIL PRESSURE ENGINE OIL PRESSURE CHARGING CURRENT

RPM
INTAKE MANIFOLD PRESSURE 8.3.1

P.S.I/kPa
EXHAUST TEMPERATURE (LB) 8.3.2

P.S.I/kPa
EXHAUST TEMPERATURE (LB) 8.3.3

AMPERES
ENGINE WATER TEMPERATURE 8.3.4

cmHg
8.4.1

DEG.C/F
8.4.2

DEG.C/F
8.4.2

DEG.C/F
8.4.4

CUMMINS REPORT OF NEW ENGINE INSPECTION

COUNTRY OF DOMICILE CLAIM DATE ENGINE APPLICATION AUTOMOTIVE TRANSITE BUS INDUSTRIAL MARINE (DIA) MARINE (REC) MARINE (COM) GENDRIVE (S/BY) GENDRIVE (PRIME) FIRE PUMP GENSET (S/BY) GENSET (PRIME) OTHER .

GENSET (S/BY) GENSET (PRIME)