FORM REPORT

Customer HEXINDO Part Number

Component Name ROD BOOM CLYINDER Inspection/Report Date
Unit Model EX 3600 Inspection - Repair AFTER BEFORE
Serial Number Job Number
Control Number Order Number
KETERANGAN ATAS ITEM YANG DI REPAIR / DIBUAT STANDARD DIMENSION
(Gambar Dimensi & Ukuran) (unit mm)
A 189.500 ~ 190.000
B Ø 275.040 ~ 275.100
C 130.000 ~ 130.050
ID-B D D 25.000 ~ 25.050
E 4.300 ~ 4.500
E
F 29.980 ~ 30.000
G
G 4.000 ~ 4.050
B H 7.300 ~ 7.500
A C A

TARGETA: 189.900 ~ 190.000mm

B: 275.050 ~ 275.090mm
H F

MEASUREMENT RESULT
I. Dimension A I. Dimension A
DIM 1 2 DIM 1 2 3 4
X X
Y Y
Z Z

I. Dimension A
DIM X Y Z
C
D
E
F
G
H

REMARKS RECOMENDATION
1 1
2 2
3 3
4 4
5 5
WELDING THERMAL COATING ✘ MACHINING OTHERS
CHECKED BY APPROVED BY :

DIMAS PURWANTO NURSOLI

QC ENGINEER SPV QC
SSC-FORM-001/QC/REV.01
 FORM REPORT

Customer HEXINDO Part Number

Component Name ROD BOOM CLYINDER Inspection/Report Date
Unit Model EX 5500 Inspection - Repair AFTER BEFORE
Serial Number Job Number
Control Number Order Number
KETERANGAN ATAS ITEM YANG DI REPAIR / DIBUAT STANDARD DIMENSION
(Gambar Dimensi & Ukuran) (unit mm)
EYE SURFACE (A) 219.500 ~ 220.000

RE-BUSHING (B) 220.000 ~ 220.072

MEASUREMENT RESULT
I. Dimension A
DIM 1 2
X
Y
Z

I. Dimension A
DIM 1 2 3 4
X
Y
Z

REMARKS RECOMENDATION
1 1
2 2
3 3
4 4
5 5
WELDING THERMAL COATING ✘ MACHINING OTHERS
CHECKED BY APPROVED BY :

DIMAS PURWANTO NURSOLI

QC ENGINEER SPV QC
SSC-FORM-001/QC/REV.01