Form Claim Luar Kota

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CLAIM REPORT

CLAIM DATE WORK HOUR


9/6/2023
TANGGAL DI KLAIM JAM KERJA KENDARAAN

TIRE BRAND HILO DAMAGE


MERK BAN JENIS KERUSAKAN
TIRE SIZE 27,00R49 LOCATION CONDITION
UKURAN BAN KONDISI LOKASI OPERATIONAL
TIRE PATTERN B045 ROAD CONDITION
TIPE TAPAK BAN KONDISI JALAN
PLY RATING - VEHICLE TIPE
PLY RATING JENIS KENDARAAN
POSISITION TYRE FRONT LEFT LOAD WEIGHT
POSISI BAN DIGUNAKAN BERAT MUATAN
SERIAL NUMBER DA12210S10728D SPEED
NOMOR SERI BAN KECEPATAN KENDARAAN
EARLY TREAD DEPTH 76 DISTANCE ( 1 WAY )
AWAL KEMBANGAN TAPAK ( MM ) JARAK TEMPUH SEKALI JALAN
REMAIN TREAD DEPTH 67 PURCHASE DATE
SISA KEMBANGAN TAPAK ( MM ) TANGGAL PEMBELIAN
OUT DOOR TEMP 35°C INDUSTRIAL SECTOR
SUHU DI LUAR ( LOKASI OPERASI KENDARAAN ) BIDANG INDUSTRI
TYRE PRESSURE 120PSI CUSTOMER NAME
TEKANAN BAN NAMA KONSUMEN
NOTE
QTY TIRE / UNIT IS 6 TIRES
5,5 HOURS/SIFT, 2 SIFT/DAY, REST AFTER
1 SIFT ABOUT 1 HOUR

SIDEWALL SEPARATION

ROCK AND SOIL


OPERATIONAL
MINING ROAD

KOMATSU HD 785

91700 KG

40 KM/H

2 - 2,5 KM
SEKALI JALAN
1/9/2023

MAINING

JB ( BATU CINCIN )
CLAIM REPORT
CLAIM DATE WORK HOUR
9/22/2023
TANGGAL DI KLAIM JAM KERJA KENDARAAN

TIRE BRAND HILO DAMAGE


MERK BAN JENIS KERUSAKAN
TIRE SIZE 24,00R35 LOCATION CONDITION
UKURAN BAN KONDISI LOKASI OPERATIONAL
TIRE PATTERN B045S ROAD CONDITION
TIPE TAPAK BAN KONDISI JALAN
PLY RATING - VEHICLE TIPE
PLY RATING JENIS KENDARAAN
POSISITION TYRE FRONT LEFT LOAD WEIGHT
POSISI BAN DIGUNAKAN BERAT MUATAN
SERIAL NUMBER DA12207S02978D SPEED
NOMOR SERI BAN KECEPATAN KENDARAAN
EARLY TREAD DEPTH 68MM DISTANCE ( 1 WAY )
AWAL KEMBANGAN TAPAK ( MM ) JARAK TEMPUH SEKALI JALAN
REMAIN TREAD DEPTH 61MM PURCHASE DATE
SISA KEMBANGAN TAPAK ( MM ) TANGGAL PEMBELIAN
OUT DOOR TEMP 35°C INDUSTRIAL SECTOR
SUHU DI LUAR ( LOKASI OPERASI KENDARAAN ) BIDANG INDUSTRI
TYRE PRESSURE 110 PSI CUSTOMER NAME
TEKANAN BAN NAMA KONSUMEN
NOTE
QTY TIRE / UNIT IS 6 PCS
882 HOURS

BULGING IN SIDE WALL AREA

ROCK AND SOIL


OPERATIONAL
MINING ROAD

KOMATSU HD465

60000 KG

30-40 KM/H

1 KM
SEKALI JALAN
3/11/2023

MAINING

DH SITE KINTAP

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