Breakdown/Work permit Slip Doc No: BS/PP/T06/v1

Section: BOILER Date: 4/3/2018 Shift: A Department Mechanical Breakdown / Work Permit Slip No.: 39720

Before Attending Breakdown During Breakdown

Breakdown Start Time : 8:30 AM Job Start Time : 8:38 AM Response Time (in minutes): 12:08:00 AM
Machine on which breakdown occurred (Machine No.): Reason for delays, if more than 20 minutes:
WHRB-01 LENSE PIPE DAMAGE

Problem Description:

Root cause of breakdown, if known:

After Attending Breakdown

Job End Time & Date : Details of job done on the equipment : Spares used:

Equipment Handover Condition :

OK

Partially OK, to be attended within 24 hours

Partially OK, to be attended in next RM / PM

Not OK, to be attended by next shift

Remarks :

Signature of Production Staff Name/Signature of Maintenance Staff

 Breakdown/Work
Section: CHP(160 TPH) Date: 4/3/2018 Shift: A Department

Before Attending Breakdown

Breakdown Start Time : 8:30 AM Job Start Time :

Machine on which breakdown occurred (Machine No.): Reason for delays, if more
CREAN BREAK DOWN

Problem Description:

Root cause of breakdo

After Attending Bre

Job End Time & Date : Details of job done on the eq

Equipment Handover Condition :

OK

Partially OK, to be attended within 24 hours

Partially OK, to be attended in next RM / PM

Not OK, to be attended by next shift

Remarks :
Signature of Production Staff
wn/Work permit Slip Doc No: BS/PP/T06/v1

Electrical Breakdown / Work Permit Slip No.: 39719

During Breakdown
8:50 AM Response Time (in minutes): 12:20:00 AM
for delays, if more than 20 minutes:

cause of breakdown, if known:

Attending Breakdown
ob done on the equipment : Spares used:
Name/Signature of Maintenance Staff
BS/PP/T06/v1

39719

2:20:00 AM
raipur