H45 - H100

Attendant Name: Date:

Hammer Information Machine Information

Model:____ Model:____ SMU's_______
S/N:____________ S/N:___________

Hammer Inspection * Customer is responsible for all wear components and charges incurred due to damage.
Time: 30 min.
Tool must be removed for inspection
Tool Information:
Super
Wear Components Moil Chisel Blunt
Good Worn or Damaged Blunt
Housing / side plates:
Munting Bracket / Bolts Remove Tool and measure from top to tip.

Hoses: Tool Length______inches

Rubber Buffers (If silenced)
Tool Retainer Pins Tool Part #
Toll Bit: Yes No
Bottom of Piston: Tool Burrs
Upper Tool Bushing: Lower Bushing
Lower Tool Bushing: Rotated
Grease Fittings: Replaced

* Document all wear and damage with photographs

* Scan and download this form to SIMSi under hammer S/N

Outgoing Information: Yes/No

Operation & Maintenance document attached to hammer?
Two tubes of Cat hammer paste shipped with hammer?
Circle One
Who will install hammer? Customer Dealer

Operating Pressure Test

Time: 30 min.
Hammer Operating Pressure (low pressure test port, hammer running________psi.
* Setting the operating pressure of the hammer will ensure maximum performance and productivity.

Machine Testing
Note:
For Non-Cat Machines with hammers H45 - H100, Flow @ Pressure Test (with Flow Meter) MUST be completed.

Additional Comments:

Circle One
Attendant Signature: Outgoing Return

Customer Signature: Date:

04-14-08 GL
 H115s – H180DS

Attendant Name: Date:

Hammer Information Machine Information

Model:____ Model:____ SMU's_______
S/N:____________ S/N:___________

Hammer Inspection * Customer is responsible for all wear components and charges incurred due to damage.
Time: 30 min.
Tool must be removed for inspection
Tool Information:
Super
Wear Components Moil Chisel Blunt
Good Worn or Damaged Blunt
Housing / side plates:
Munting Bracket / Bolts Remove Tool and measure from top to tip.

Hoses: Tool Length______inches

Rubber Buffers (If silenced)
Tool Retainer Pins Tool Part #
Toll Bit: Yes No
Bottom of Piston: Tool Burrs
Upper Tool Bushing: Lower Bushing
Lower Tool Bushing: Rotated
Grease Fittings: Replaced

* Document all wear and damage with photographs

* Scan and download this form to SIMSi under hammer S/N

Outgoing Information: Yes/No

Operation & Maintenance document attached to hammer?
Two tubes of Cat hammer paste shipped with hammer?
Circle One
Who will install hammer? Customer Dealer

Machine Testing
Time: 1 hr.
Note:
* Excavators' Auxilary Circuit MUST be tested with flow meter at least every 12 months!
Aux. Line Relief Setting: ______psi
Flow @ Hammer Operating Pressure: ____Gpm _____psi
Oil Temperature (During Test) ____°F
Back Pressure ______psi
Hammer Operating Pressure (At ball valve, hammer running) ______psi

Additional Comments:

Circle One
Attendant Signature: Outgoing Return

Customer Signature: Date:

04-14-08 GL