Field Assembly Inspection Report - Komatsu D155A-6 Assembly Instruction Manual

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Field assembly inspection report

After completion of assembling a machine, make inspections according to these check sheets for assuring machine performance and quality.
Please send back these check sheets to the factory.
Model-Type
Machine Serial No.
D155A-6
Service Meter Reading
Location of Machine at Inspection
Distributor's Name
Customer's Name
Inspector's Comments:
Inspector's Name:
Title
Signature:
Check sheets filling instructions:
1. Use following indexes for entry of judgement
2. Enter actually measured values in parenthese, [
Notes:
(1) Criteria are based on the standards when the machine is shipped out of the factory.
SUBMITTANCE OF THIS REPORT (AND CHECK SHEETS) TO KOMATSU IS ONE OF THE CONDITIONS OF WARRANTY VALIDATION, COPY
FOR KOMATSU SHALL BE FORWARDED TO THE KOMATSU REGIONAL OFFICE TOGETHER WITH THE COPY OF DELIVERY SERVICE RE-
PORT.
User Unit No.
Date of Inspection
Address:
T
..... Normal
T
..... Abnormal
Engine Model
SAA6D140E-5
Specification
Blade
Semi U.
Ripper or
VGR.
counterweight
560 mm
Shoe width
(22")
Others
Signature:
Date:
KOMATSU USE ONLY
:
C. Sheet Receiving Date :
By
:
Remark:
T
..... Correction made on abnormal point
T
..... Not applied
].
Report No.
Engine Serial No.
SIGMA
(Dual
Single)
VMR.
CW (
610 mm
660 mm
710 mm
(24")
(26")
Delivery
Report
No. attached
Printed in Japan
1/7
)
(28")

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