FIELD SERVICE REPORT

FR-001

Machine Serial Number: Customer:

Machine Model: Business unit:
Hours Used on Activity: Adress:
Date and Time: City:
Drill hours: Contact:
Work place: Electric motor hours:
Diesel Engine Hours: Operator´s name:

RECORD THE FOLLOWING:

USING APPLICABLE TOOLS, PERFORM THE FOLLOWING TESTS:

GOOD BAD GOOD BAD Hammer drain pressure*:

Collaring hammer pressure: Oil lube pressure:
Hammer full power: Park brake pressure:
Feed collar pressure: Water pressure:
Feed thrust: Air compressor outlet pressure:
Rotation relief pressure: Air compressor temperature:
Rotation pressure: Diesel engine temperature:
Drill steel R.P.M. : Hydraulic oil temperature:
Striking bar temperature: Rotation group temperature:
Air lube pressure: Hammer cylinder temperature:

Rock type: Brand and type of drill steel: Drill steel life (m):
Mohs or comp. resistance: Brand and type of bit: Bit life (m):
Time per hole: Striking bar type (female/male T38/R38): Striking bar life (m):

SERVICE BRAKE, engine running, parke brake released, apply the service brake by moving the lever to the on position * min. 15 psi, max. 18 psi
full engine speed, and move the tram lever to forward or reverse, machine must not move.
Needs service or repair? yes no

PARK BRAKE, engine running, park brake applied, full engine speed,
release service brake and move the tram lever to the forward or back position, machine must not move.
Needs service or repair? yes no
ACTIVITIES:
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RECOMMENDATIONS TO CUSTOMER:

Next visit by ________________________________________________________________________

Will customer pay charges on next visit? y n
Customer additional charges:
Activities:

Technician Name (Signature) : _______________________________________________________ Date: ___________________

Customer Name (Signature): ________________________________________________________ Date : ___________________

Revision 1 11/9/2010
 COMMISSIONING CHECKLIST
FR-002

Machine Serial Number: Customer:

Machine Model: Business unit:
Hours Used on Activity: Adress:
Date and Time: City:
Contact:

DRIFTER CHECK LIST

Drill hours _________________
Outside condition of the drill
Check condition of hose fitting
Check condition of front cap
Check condition of side rods
Check condition of Stop Ring
Check condition of water seals
Check condition of flushing head
Check conditions of front bushing
Check conditions of bushing chuck
CONDITION CONDITION
GOOD BAD GOOD BAD
Check conditions of drill bolts (6)
Check conditions of drill hoses
Check conditions of drill lubricator
Check conditions of rotation bearings
Check conditions of rotations bearings adjustment
Check drill for leaks
Check conditions of rotation motor
Evaluate conditions of percussion group
Check drain hammer pressure

FEED CHECK LIST

CONDITION
GOOD
Check for wear on the whole feed
Check condition of front stinger pad
Cheeck conditions of front centralizer
Check bolts and nuts in the whole feed
Check conditions of the gibs
Check conditions of mid centralizer
Check conditions of the pull and retract cables
Check adjust of pull down and retract cables
Check for wear on the cables sheaves
Check for wear in feed sheave pin
CONDITION
BAD GOOD BAD
Check for wear on rear sheave shaft
Check conditions of the drill cradleR
Check conditions of the hosewheel
Check conditions of the feed cylinder
Check for internal leak on feed cylinder
Check conditions on feed cylinder fittings
Check for feed lubrication
Check the autoretract system
Check the feed lubrication manifold
Check conditions of sheave scrapper
Check adjustment of the lower gibs

BOOM CHECK LIST

CONDITION
GOOD
Check conditions of the feed extension cylinder
Check pins and bushings on the feed extension
Check conditions of the extra swing cylinder
Check pins and bushings of the extra swing cylinder
Check conditions of the feed tilt cylinder
Check pins and bushings of the feed tilt cylinder
Check conditions of boom extension cylinder
Check pins and bushings of boom extension cylinder
Check conditions of counter balance valves
CONDITION
BAD GOOD BAD
Check conditions of boom lift cylinder
Check pins and bushings of boom lift cylinder
Check boom swing cylinders
Check pins and bushings of boom swing cylinder
Check conditions of feed roll cylinder
Check pins and bushings of boom wrist
Check conditions of hose hangers
Check conditions of spiral hose protection
Check conditions of all the hoses in the boom

CHASSIS CHECK LIST

CONDITION CONDITION
GOOD BAD GOOD BAD
Check chassis for damage Check conditions of covers
Check conditions of front stabilizer jacks Check conditions of canopy cylinders
Check conditions of counterbalance valve Check conditions of counterbalance valves
Check conditions of rear stabilizer jacks Check for missing bolts
Revise condiciones de cilindros de direccion Check steering cylinder pins and busgings
Revise condiciones de valvulas counterbalance Check axles oil level

DIESEL ENGINE CHECK LIST

CONDITION CONDITION
Diesel engine hours _________________ GOOD BAD GOOD BAD
Check diesel engine air filter Check alternator belt
Check water-fuel separator Chect engine turbo charger
Check engine radiator Check air hoses and couplings
Check engine for leaks Check Revise condiciones de post-enfriador de aire
Check engine bumpers Check engine fan
Check electric harness and ECM Check exhaust

IN CAB CONTROLS CHECK LIST

CONDITION CONDITION
GOOD BAD GOOD BAD
Check conditions of boom movement levers Check conditions of air/water valve
Check conditions of stab. Jacks Check conditions of lubricator
Check conditions of Diesel and tram DC control Check conditions of angle indicator (ADS)
Check conditions of diesel engine display Check conditions of feed IC block
Check conditions of operator seat Check canopy
 FLUSHING CHECK LIST
CONDITION CONDITION
GOOD BAD GOOD BAD
Check water pump Check conditions of air compresor
Check conditions of water pump hyd. Motor Cvheck conditions of air comp air filter
Check conditions of water relief valves Check conditions of air compresor gauges
Check conditions of inlet water ball valve Check conditions of air compressor hyd. Motor
Check conditions of water mechanic seal Check conditions of air tank
Check for leaks on water connections Check air compressor cooler
Check conditions of heat exchanger Check air compressor relief valve and adjust valve

HYDRAULIC SYSTEM CHECK LIST

CONDITION CONDITION
GOOD BAD GOOD BAD
Check conditions of hydraulic oil Check conditions of feed block
Check conditions of pressure filter Check conditions of rotation block
Cheeck conditions of return filters Check hammer and rotation block solenoids
Check conditions of breather filter Check suction lines from hydraulic oil tank
Check conditions of hammer block Check pumps flow and record
Check hydraulic oil temperature switch Check hydraulic oil low level switch

CHECK ACCESSORIES

Drill steel _________________________ Striking bar___________________

Bit_______________________ Reamer bit____________________

CHECK AND RECORD CONDITIONS OF COMPONENTS

MANOMETERS AND CONTROLS

Adjust? Actual condition INSTRUMENTS Do they work? Actual condition Do they work? Actual condition
BELTS Yes No Good Bad Missing Yes No Good Bad Missing Yes No Good Bad Missing
Fan belt diesel eng. hourmeter start switch
Alternator belt temp gauge engine Park brake switch
engine oil pressure Brake test switch
Do they work? Actual condition voltmeter transmission switch
LIGHTS Yes No Good Bad Missing engine fail light eng. Speed switch
left front light Cable energized light service brake
right front light tachometer horn
boom left light transmission pressure switch master
boom right light transm. Press. Gauge hammer switch
left rear light park brake light rotation switch
right rear light front brake light steering lever
emergency light rear brake light backup alarm
parking light front brake gauge air comp. Switch
turret light rear brake gauge ignition key
inside cab light hyd temp. Gauge parallel switches
high tension Cable. 440 V engine pre heater engine starter

SERVICE AND PARK BRAKE TESTS

SERVICE BRAKE, engine running, parke brake released, apply the service brake by moving the lever to the on position
full engine speed, and move the tram lever to forward or reverse, machine must not move.
Needs service or repair? yes no

PARK BRAKE, engine running, park brake applied, full engine speed,
release service brake and move the tram lever to the forward or back position, machine must not move.
Needs service or repair? yes no

CHECK THE MACHINE FOR MISSING SAFETY PLATES

Are there any safety placards missing? yes no Comments________________________________________________

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USING APPLICABLE TOOLS, PERFORM THE FOLLOWING TESTS:

CONDITION CONDITION
GOOD BAD GOOD BAD
Hammer collar power Oil Lube Pressure
Hammer full power Brake Pressure
Collaring feed pressure Water Pressure
Feed thrust Air Compressor Outlet Pressure
Rotation relief pressure Airi Compressor Temperature
Rotation pressure Diesel Engine Temperature
Drill Steel R.P.M. Hydrualic Oil Temperature
Striking Bar Pressure Rotation Group Temperature
Air Lube Pressure Hammer Cylinder Temperature
Forward Tram Pressure Reverse Tram Pressure
 LIST ALL PROBLEMS OR FAILURES AND CORRECTIONS MADE

Next visit programmed by ________________________________________________________________________

Will customer pay charges on next visit? y n

Customer additional charges:

Activities:

Technician Name (Signature) : _______________________________________________________ Date: ___________________

Customer Name (Signature): ________________________________________________________ Date : ___________________

Revision 1 11/9/2010
 DRILL REPAIR REPORT
FR-003

Machine Model: Customer:

Drifter Serial Number: Business unit:
Drifter Model: Adress:
Percussion Hours: City:
Date: Contact:
Total Repair Hours:
Technician:

DRILL COMMON PARTS

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Cap front 06 100 026 Change Reason for change _____________________
Stop ring set 06 560 014 Change Reason for change _____________________
Side rod 3139021-0176 Change Reason for change _____________________
Nut, Hi-hex 0903535-1216 Change Reason for change _____________________
O-Ring 0910660-0167 Change Reason for change _____________________
Quad ring 0907952-0170 Change Reason for change _____________________
Backhead 1139001-0191 Change Reason for change _____________________
Gasket, hyd. Motor drill 1139241-0224 Change Reason for change _____________________
Soc. HD 1/2-13x1 0902224-0095 Change Reason for change _____________________

TRANSMISSION
CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Bearing cup 0960142-0001 Change Reason for change _____________________
Shims 01 650 024 Change Reason for change _____________________
Grease fitting 0901257-0008 Change Reason for change _____________________
Plug 0901930-0002 Change Reason for change _____________________
Hex HD 0900012-0043 Change Reason for change _____________________
Lock washer 0900302-0003 Change Reason for change _____________________
Front cover 3139185-0318 Change Reason for change _____________________
O-Ring 0910660-0165 Change Reason for change _____________________
Quad ring 0907953-0345 Change Reason for change _____________________
Bearing cup 0960124-0001 Change Reason for change _____________________
Chuck gear assy. 70 253 005 Change Reason for change _____________________
Plug 0901930-0007 Change Reason for change _____________________
Shaft, reach gear 1139493-0218 Change Reason for change _____________________
Roller, reach gear 1139449-0108 Change Reason for change _____________________
Gear, counter 1139253-0253 Change Reason for change _____________________
Valve, relief 0903103-0002 Change Reason for change _____________________
Bearing cup 0940089-0010 Change Reason for change _____________________
Gear 1139253-0256 Change Reason for change _____________________
Hex hd 0900004-0043 Change Reason for change _____________________
Bearing 0940089-0011 Change Reason for change _____________________
Retaining ring 0905477-0314 Change Reason for change _____________________

CHUCK GEAR ASSY

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Cup 0960124-0001 Change Reason for change _____________________
Cone bearing 0950142-0003 Change Reason for change _____________________
Chuck gear 1139253-0251 Change Reason for change _____________________
Bushing chuck 3139023-0111 Change Reason for change _____________________
Chuck driver 1139004-0070 Change Reason for change _____________________
Ring 0905361-0300 Change Reason for change _____________________
Cone bearing 0950124-0005 Change Reason for change _____________________
Cup 0960142-0001 Change Reason for change _____________________

FITTING AND PARTS

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
O-Ring 0910660-0116 Change Reason for change _____________________
Lock washer 0900306-0003 Change Reason for change _____________________
Hex HD 0902224-0082 Change Reason for change _____________________
Rotation motor manifold 3139353-0244 Change Reason for change _____________________
Adapter 06 230 004 Change Reason for change _____________________
Nipple 06 438 011 Change Reason for change _____________________
Elbow 45° 0907264-0108 Change Reason for change _____________________
Cap # 12 0905582-0012 Change Reason for change _____________________
Adapter 90° 0910751-1212 Change Reason for change _____________________
Adapter 0907234-0128 Change Reason for change _____________________
Adapter 0907234-0086 Change Reason for change _____________________
Cap # 6 0905582-0006 Change Reason for change _____________________
Plug 0901930-0004 Change Reason for change _____________________
 MANIFOLD ROTATION MOTOR

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Manifold 1139353-0244 Change Reason for change _____________________
Plug 1/8 NPT 0901930-0004 Change Reason for change _____________________

PERCUSSION GROUP

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Spring pin 0904685-0118 Change Reason for change _____________________
O-Ring 0907952-0252 Change Reason for change _____________________
Quad ring 0907953-0344 Change Reason for change _____________________
Quad ring 0907952-0141 Change Reason for change _____________________
Plug 0910620-0012 Change Reason for change _____________________
Cylinder assy. 3139003-0139 Change Reason for change _____________________
Cylinder liner 06 380 028 Change Reason for change _____________________
Piston 1139005-0251 Change Reason for change _____________________
Distributor 01 200 022 Change Reason for change _____________________
Quad ring 0907953-0327 Change Reason for change _____________________
O-Ring 0910660-0167 Change Reason for change _____________________
Back head 1139001-0191 Change Reason for change _____________________

CYLINDER ASSEMBLY

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Cylinder 3139003-0140 Change Reason for change _____________________
Shell 1139756-0141 Change Reason for change _____________________
Plug, O- Ring 0910620-0012 Change Reason for change _____________________
Plug 1/4 NPT 0901924-0003 Change Reason for change _____________________

FRONT END PARTS

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
Elbow 45° 0907264-0108 Change Reason for change _____________________
Stop ring set 06 560 014 Change Reason for change _____________________
Cap front 06 110 026 Change Reason for change _____________________
Nipple 06 438 011 Change Reason for change _____________________
Housing chuck assy. 06 329 014 Change Reason for change _____________________
Head assy, flushing 06 300 005 Change Reason for change _____________________

HEAD ASSY. FLUSHING

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
O-Ring 0910660-0237 Change Reason for change _____________________
Seal cup 90 020 010 Change Reason for change _____________________
Seal cup 90 020 009 Change Reason for change _____________________
Seal cup 90 020 008 Change Reason for change _____________________
Head flushing 06 300 004 Change Reason for change _____________________

HOUSING CHUCK ASSY.

CONDITION
DESCRIPTION PART NUMBER GOOD BAD Qty.
O-Ring 0910660-0240 Change Reason for change _____________________
Bushing 06 100 139 Change Reason for change _____________________
Spring pin 0904685-0133 Change Reason for change _____________________
Housing front 06 329 013 Change Reason for change _____________________

REPAIR SERVICE KIT

DESCRIPTION PART NUMBER Qty.

Service kit 70 004 023
Revision 1 11/9/2010
 SERVICE WORK ORDER
FR-004

Machine Model: Customer:

Machine Serial Number: Business unit:
Serviced By: Adress:
Purchase Order: City:
Location: Contact:
Hours:

SERVICE REQUIRED

Warranty Customer Training Invoicing Repair

Contract In-House Training Follow-Up On-Site
Single Face Drill UV-11 UV-6 SV-26
Auto Bolter Manual Bolter Double Face Drill SV-45

SERVICE INFORMATION

Purpose for Call:

Who did you work with?

What did the customer do to correct the problem (prior to call)?

What this a repeat problem?

WORK PERFORMED
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REASON FOR FAILURE

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SUGGESTIONS FOR IMPROVEMENT

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 FOLLOW UP REQUIREMENTS
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CHARGES: PER DAY: TOTAL:

Air Fare / Mileage / Rental
Travel Time
Service Time
Contract Cost
TOTAL:

Work Performed By: Date:

Approved By: Date:

Revision 1 11/9/2010
 WARRANTY REQUEST FORM
FR-005

Customer: Date:
Machine Serial Number: Name of Mine:
Reported By: Preparer:

WARRANTY REQUEST

Are replacement parts required immediately? If yes, P.O. #:

Are there spares in stock within our system?

(No - parts already replaced from stock. If under warranty issue credit to appropriate field service center)

Returned Part Production Information -

Part #: _________________ Part Name: Labor Costs Incurred: ________________

Quantity Returned: ___________________ Facility Returned To: ___________________________

Description of the problem:

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Is this the first occurrence? ___________If not, previously reported on: _________________

Reported to: ______________________ Previous WCR#: __________________________

Representative Review:________________________________________________________

Date this machine was shipped from the OEM: ______________________________________

Findings of the quality review:

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Is the part a purchased part? _________ If yes, supplier is: _______________________________

Suppliers authorization number:________________Date returned: _________________________

Suppliers findings: Under Warranty? _______ Credit to be issued: $__________

Personnel notified regarding this problem? _________

Findings (Under Warranty?): No, Claimant Notified Yes, Replacement / Credie Issued

Closed On: ________________________Closed By: __________________________________________

Revision 1 11/9/2010
 DRILL PERFORMANCE REPORT
FR-006

Drill Serial Number: Customer:

Date: Site:
Bit Size and Brand.: Adress:
Steel Length, Type, Brand: City:
Machine Serial Number: Contact:
Sriking Bar Life:
Bit and Steel Life: Revision 1 11/9/2010

TIME STUDY WORKSHEET

Lube Air Pressure: Lube Oil Pressure: Hammer Drain Pressure:
Rotation Pressure

Drill Steel RPM's

Feet Per Minute

Water Pressure
Hammer Press.

Feed Pressure

Drilling Amps
Flushing Air

P1 Pressure

P2 Pressure

Oil Temp.

Amps

Volts

Time
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