FAULTY MATERIAL REPORT FORM

Project Name : LINKNET NRO FTTH PROJECT 2023

Requested By : BEAUT
Phone No / Email :
Date : 16 MEI 2024
Equipment/material Name : 80m Single –Core Cable
Out Quantity : 1
Product Code : 350000475649
Serial Number : AA2336001870
Node ID/FDT ID : FZTE00859 / FLWT09D01
Region : Bojonegoro, East Java
Faulty Description : Bending
Faulty Confirmed by (ZTE Engineer) : Garda
Description Material Faulty : Kabel putus

Mengetahui

Engineer Subcont Engineer ZTE Implementation Project

* lengkapi foto dokumentasi faulty material dengan jelas (faulty reason capture dan
equipment serial number).

Faulty Material Documentation