For Emergency Callback, Please Call : (62 21) 8086 6666, (62 21) 2278 0701

CALLBACK REPORT CR No :
PT CITAS OTIS ELEVATOR
CIBIS 9 3rd Floor, Jl. TB. Simatupang No. 2 Technician :
Cilandak Timur, Jakarta Selatan 12560 - INDONESIA DAY/DATE :…………...………./………………….....
Phone 62 - 21 - 8086 6666 Signature :
62 - 21 - 2278 0701 CALLBACK TIME : START : Date :
Fax 62 - 21 - 2278 0773 ARRIVAL TIME : FINISH : Supervisor :
Building Name : T1 :…….....minutes T2 :…….....minutes
Contract Number : Signature :
Contract Type : LEAVING TIME : Date :

CALLBACK CATEGORY 1. MACHINE ROOM 2. HOISTWAY 3. CAR Callback Result :

A Elevator Stopped 1 Controller 20 Buffer 50 Lift Car
Running Normal Monitor
B Performance Deterioration 2 Direct Drive Unit 21 Compensating Chain / Rope 51 Car Frame
C Minor Problems 3 Drive Machine 22 Counterweight 52 Car Operating Panel Contract Type : Continue :
D Customer or other 4 Generator 23 Counterweight Safety Gear 53 Door Operator OM Continue T2
X Trapped Passengers 5 Governor 24 Doors / Entrances 54 Door Protection OG Part Replacement
Z Unknown 6 Group Controller 25 Earthquake Detection Device 55 Doors / Gates NIS Repair / Readjust
7 Hydraulic Pump Unit 26 Guide Rails 56 Safety Gear
COMPONENT AREA 8 Main Isolator 27 Hydraulic Ram / Cylinders 57 Car Signals
1 Machine Room 9 Primary Position Transducer 28 Landing Call Fixture 58 Stop Switches
Customer Feedback
2 Hoistway 10 Selector 29 Main Hoist Ropes 69 Car - Others Do you satisfied with our Do you satisfied with our
3 Car 11 Velocity Transducer 30 Pit 84 Intercom arrival time ? completion time ?
4 Escalator/Travolator 12 Tape Switch 32 Shaft Switches
Very satisfied Very satisfied
5 Peripheral Device 18 MR - Filter 33 Sheaves 5. PERIPHERAL DEVICE
9 Miscellaneous 19 MR - Others 34 HW - Signals CRT - Information Display Satisfied Satisfied
80
35 Key Switches Terminal
Somewhat satisfied Somewhat satisfied
4. ESC / TRAV 36 Traveling Cables 82 EMS
70 Esc Controller 75 Tension Carriage 48 HW - Hall Lantern Fixtures Neutral Neutral
71 Handrail 76 Truss 49 HW - Others
Somewhat dissatisfied Somewhat dissatisfied
73 Main Chain 77 Step Chain 72 Landing Threshold
74 Steps 78 Esc - Motor Dissatisfied Dissatisfied
79 Esc - Others
Very dissastified Very dissastified

CALLBACK REMARK CORRECTIVE ACTION

Signature :

Name :

Date :

Form No. : FORM/COE/SFD/006 Rev. 01 White : OTIS Office Yellow : OTIS Office Red : Customer Blue : Technician