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Machine Breakdown Report Form

This document is a breakdown intimation slip for a machine, tool, or fixture at Kansal Industries. It records the name and number of the item, details of the breakdown, the action taken, and confirmation that the repair is complete. Signatures are required from production, maintenance, and quality control to verify and close out the issue.

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virender thakur
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21K views1 page

Machine Breakdown Report Form

This document is a breakdown intimation slip for a machine, tool, or fixture at Kansal Industries. It records the name and number of the item, details of the breakdown, the action taken, and confirmation that the repair is complete. Signatures are required from production, maintenance, and quality control to verify and close out the issue.

Uploaded by

virender thakur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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BREAKDOWN INTIMATION SLIP

DOC NO : KI:F:MNT:03
KANSAL INDUSTRIES REV NO : 01
DATE : 02.05.2017

Machine Tool Fixture

Date :
Name of Machine / Tool / Fixture ____________________________________
Location
Time :
No. of Machine / Tool / Fixture ______________________________________

Details of Breakdown Action Taken

Machine / Tool / Fixture Done Date : Time :

Prepared By Attended By Verified By


(Produc tion) Machine / Tool Maintenance (Quality Department)

REQUIRE :- 20 PAD

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