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Defect Report Form (Type A) (Defect Notification Form)

Ver.0.0
Note: When defect occur in [ Mentioned Project Place ] , Mainline and others, MRTJ will issue a defect
notification with this format.
1. Work Order (Defect Claim) No. : 2. Notice Date:

Part MRTJ : Defect Information


3. Defect Name: 4. Date of Defect (dd/mm/yy): 5. Equipment ID No.:

6. Sub-System, Component 7. Time of Defect (hh:mm): 8.Location of Defect:


Name:

11. Description Defect & Effects:

12. Actions Taken after Defect :

13. Reporter: 14. Signature:

Date:

FRF Ver.0.2 /20190422


Defect Report Form (Type B) FRF -
Ver.0.0
Note: Whenever Work Order (Defect Claim) has been evaluated to as a defect, the Contractor has to make an
entry of the information in this FRF (Failure Report Form) Type B
1. Work Order ( Defect Claim) No. : 2. Notice Date:

Part A: Repair Information – Defect Liability Work


15. Description of defect cause and how to be detected:

16. Description of repair action taken:

17. Name of replaced part: 20. Total effective repair time (hrs,
mins) and nos of maintenance staff

18. Part Number

19: Serial Number

21. Prepared by: 22. Signature

Date:

FRF Ver.0.2 /20190422


Part B: Defect Analysis
23. Root Cause of Defect:

24. Outcome of Review:


□ No cause found & no action
□ Cause found but no action
□ Improvement action required

25. Proposed Improvement Action:

26. Analyzed by: 27. Signature: 28. Date:

Part C: Close-Out Action

Please sign the following fields if the corrective action is completed and the work order can be closed-out.
29. Reviewed by: 30. Signature: 31. Date:

32. Approved by: 33. Signature: 34. Date:

FRF Ver.0.2 /20190422

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