Home
Mining
Data Collection Tire Repair_Rema Tip Top
Data Collection Tire Repair_Rema Tip Top
William Kitchens

Data Collection Tire Repair_Rema Tip Top

Internal Quality Control

Use this Template
Print as PDF
graphic of a hand making an okay sign ×

Free Data Collection Tire Repair_Rema Tip Top Checklist

Use this Template

Title Page

  • Customer

  • Work Order (tire serial number)

  • Conducted on

  • Facility

    • Elko (155)
    • Gillette (159)
    • AZ Mining (158)
    • Safford (154)
    • Wabush (197)
    • Comm City (179)

  • Prepared by

Tire Information

Tire Data

  • Customer

  • Serial/Brand

  • Tire Manufacturer

    • Bridgestone
    • Firestone
    • Michelin
    • Yokohama
    • Goodyear
    • Other

  • Remaining Tread Depth

    • 2/32"
    • 3/32"
    • 4/32"
    • 5/32"
    • 6/32"
    • 7/32"
    • 8/32"
    • 9/32"
    • 10/32"
    • 11/32"
    • 12/32"
    • 13/32"
    • 14/32"
    • 15/32"
    • 16/32"
    • 17/32"
    • 18/32"
    • 19/32"
    • 20/32"
    • 21/32"
    • 22/32"
    • 23/32"
    • 24/32"
    • 25/32"
    • 26/32"
    • 27/32"
    • 28/32"
    • 29/32"
    • 30/32"
    • 31/32"
    • 32/32"
    • 33/32"
    • 34/32"
    • 35/32"
    • 36/32"
    • 37/32"
    • 38/32"
    • 39/32"
    • 40/32"
    • 41/32"
    • 42/32"
    • 43/32"
    • 44/32"
    • 45/32"
    • 46/32"
    • 47/32"
    • 48/32"
    • 49/32"
    • 50/32"
    • 51/32"
    • 52/32"
    • 53/32"
    • 54/32"
    • 55/32"
    • 56/32"
    • 57/32"
    • 58/32"
    • 59/32"
    • 60/32"
    • 61/32"
    • 62/32"
    • 63/32"
    • 64/32"
    • 65/32"
    • 66/32"
    • 67/32"
    • 68/32"
    • 69/32"
    • 70/32"
    • 71/32"
    • 72/32"
    • 73/32"
    • 74/32"
    • 75/32"
    • 76/32"
    • 77/32"
    • 78/32"
    • 79/32"
    • 80/32"
    • 81/32"
    • 82/32"
    • 83/32"
    • 84/32"
    • 85/32"
    • 86/32"
    • 87/32"
    • 88/32"
    • 89/32"
    • 90/32"
    • 91/32"
    • 92/32"
    • 93/32"
    • 94/32"
    • 95/32"
    • 96/32"
    • 97/32"
    • 98/32"
    • 99/32"
    • 100/32"
    • 101/32"
    • 102/32"
    • 103/32"
    • 104/32"
    • 105/32"
    • 106/32"
    • 107/32"
    • 108/32"
    • 109/32"
    • 110/32"
    • 111/32"
    • 112/32"
    • 113/32"
    • 114/32"
    • 115/32"
    • 116/32"
    • 117/32"
    • 118/32"
    • 119/32"
    • 120/32"
    • 121/32"
    • 122/32"
    • 123/32"
    • 124/32"
    • 125/32"
    • 126/32"
    • 127/32"
    • 128/32"
    • 129/32"
    • 130/32"
    • 131/32"
    • 132/32"
    • 133/32"
    • 134/32"
    • 135/32"
    • 136/32"
    • 137/32"
    • 138/32"
    • 139/32"
    • 140/32"
    • 141/32"
    • 142/32"
    • 143/32"
    • 144/32"
    • 145/32"
    • 146/32"
    • 147/32"
    • 148/32"
    • 149/32"
    • 150/32"

  • Tread Design

Injury Location in the Tire

Inspection

  • Location of Injury A

    • Bead/Top
    • Bead/Bottom
    • Sidewall/Top
    • Sidewall/Bottom
    • Crown/Tread
    • Innerliner
    • Shoulder/Top
    • Shoulder/Bottom

  • Position (A) Clock

    • 12
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11

  • Photo

  • Reject, RAR (Reason), or Repair

    • injury too large
    • Injuries Overlap
    • Injuries too close to bead
    • Too many injuries
    • Ply separation
    • Belt edge separation
    • Excessive bead damage
    • Run Flat
    • Bead Bubbles
    • Contamination
    • Other
    • Repair

  • Location of Injury B

    • Bead/Top
    • Bead/Bottom
    • Sidewall/Top
    • Sidewall/Bottom
    • Crown/Tread
    • Innerliner
    • Shoulder/Top
    • Shoulder/Bottom

  • Position (B) Clock

    • 12
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11

  • Photo

  • Reject, RAR (Reason), or Repair

    • injury too large
    • Injuries Overlap
    • Injuries too close to bead
    • Too many injuries
    • Ply separation
    • Belt edge separation
    • Excessive bead damage
    • Run Flat
    • Bead Bubbles
    • Contamination
    • Other
    • Repair

  • Location of Injury C

    • Bead/Top
    • Bead/Bottom
    • Sidewall/Top
    • Sidewall/Bottom
    • Crown/Tread
    • Innerliner
    • Shoulder/Top
    • Shoulder/Bottom

  • Position (C)Clock

    • 12
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11

  • Photo

  • Reject, RAR (Reason), or Repair

    • injury too large
    • Injuries Overlap
    • Injuries too close to bead
    • Too many injuries
    • Ply separation
    • Belt edge separation
    • Excessive bead damage
    • Run Flat
    • Bead Bubbles
    • Contamination
    • Other
    • Repair

Injury Specifications

Injury (A) Evaluation

  • Body Ply Width (axial damage)

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Body Ply Length (radial damage)

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • [Outermost] Working Ply Damage - maximum length or width

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Number of Turn-up Wires Removed

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11 or more
    • N/A

  • Injury Classification

  • Add media

Injury (B) Evaluation

  • Body Ply Width (axial damage)

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Body Ply Length (radial damage)

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • [Outermost] Working Ply Damage - maximum length or width

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Number of Turn-up Wires Removed

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11 or more
    • N/A

  • Injury Classification

  • Add media

Injury (C)Evaluation

  • Body Ply Width (axial damage)

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Body Ply Length (radial damage)

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • [Outermost] Working Ply Damage - maximum length or width

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Number of Turn-up Wires Removed

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11 or more
    • N/A

  • Injury Classification

  • Add media

Repair Materials & Data

Repair (A)

  • Repair Unit

    • RAD 140
    • RAD 142
    • RAD 144
    • RAD 146
    • RAD 150
    • RAD 152
    • RAD 156
    • RAD 160
    • RAD 162
    • RAD 165
    • RAD 175
    • RAD 185+
    • RAD 180
    • RAD 182
    • RAD 184
    • RAD 186
    • RAD 188
    • RAD 190
    • None

  • Rubber (skive fill)

    • MTR
    • MTR-CR
    • NONE

  • How many pounds of rubber?

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Rubber and casing thickness

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Cure Time (hours)

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Vulcanizing System

  • Durometer Reading (shore hardness) of Cured Rubber

  • Repair Code

    • 4690R57spot
    • 4690R57Sect
    • 4000R57Spot
    • 4000R57Sect
    • 5580R57Spot
    • 5580R57Sect
    • 6080R57Spot
    • 6080R57Sect
    • 5380R63Spot
    • 5380R63Sect
    • OTRRAR
    • Other

Repair (B)

  • Repair Unit

    • RAD 140
    • RAD 142
    • RAD 144
    • RAD 146
    • RAD 150
    • RAD 152
    • RAD 156
    • RAD 160
    • RAD 162
    • RAD 165
    • RAD 175
    • RAD 185+
    • RAD 180
    • RAD 182
    • RAD 184
    • RAD 186
    • RAD 188
    • RAD 190
    • None

  • Rubber (skive fill)

    • MTR
    • MTR-CR
    • NONE

  • How many pounds of rubber?

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Rubber and casing thickness

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Cure Time (hours)

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Vulcanizing System

  • Durometer Reading (shore hardness) of Cured Rubber

  • Repair Code

    • 4690R57spot
    • 4690R57Sect
    • 4000R57Spot
    • 4000R57Sect
    • 5580R57Spot
    • 5580R57Sect
    • 6080R57Spot
    • 6080R57Sect
    • 5380R63Spot
    • 5380R63Sect
    • OTRRAR
    • Other

Repair (C)

  • Repair Unit

    • RAD 140
    • RAD 142
    • RAD 144
    • RAD 146
    • RAD 150
    • RAD 152
    • RAD 156
    • RAD 160
    • RAD 162
    • RAD 165
    • RAD 175
    • RAD 185+
    • RAD 180
    • RAD 182
    • RAD 184
    • RAD 186
    • RAD 188
    • RAD 190
    • None

  • Rubber (skive fill)

    • MTR
    • MTR-CR
    • NONE

  • How many pounds of rubber?

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Rubber and casing thickness

    • 0.50" (13mm)
    • 0.75" (19mm)
    • 1.00" (25mm)
    • 1.25" (32mm)
    • 1.50" (39mm)
    • 1.75" (44mm)
    • 2.00" (50mm)
    • 2.25" (57mm)
    • 2.50" (64mm)
    • 2.75" (70mm)
    • 3.00" (76mm)
    • 3.25" (83mm)
    • 3.50" (89mm)
    • 3.75" (95mm)
    • 4.00" (102mm)
    • 4.25" (108mm)
    • 4.50" (115mm)
    • 4.75" (121mm)
    • 5.00" (127mm)
    • 5.25" (134mm)
    • 5.50" (140mm)
    • 5.75" (146mm)
    • 6.00" (153mm)
    • 6.25" (159mm)
    • 6.50" (165mm)
    • 6.75" (172mm)
    • 7.00" (178mm)
    • 7.25" (184mm)
    • 7.50" (191mm)
    • 7.75" (197mm)
    • 8.00" (203mm)
    • 8.25" (210mm)
    • 8.50" (216mm)
    • 8.75" (222mm)
    • 9.00" (229mm)
    • 9.25" (235mm)
    • 9.50" (241mm)
    • 9.75" (248mm)
    • 10.00" (254mm)
    • 10.25" (260mm)
    • 10.50" (267mm)
    • 10.75" (273mm)
    • 11.00" (279mm)
    • 11.25" 286mm)
    • 11.50" (292mm)
    • 11.75" (298mm)
    • 12.00" (305mm)
    • 12.25" or more
    • N/A

  • Cure Time (hours)

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Vulcanizing System

  • Durometer Reading (shore hardness) of Cured Rubber

  • Repair Code

    • 4690R57spot
    • 4690R57Sect
    • 4000R57Spot
    • 4000R57Sect
    • 5580R57Spot
    • 5580R57Sect
    • 6080R57Spot
    • 6080R57Sect
    • 5380R63Spot
    • 5380R63Sect
    • OTRRAR
    • Other

Man Hours

  • Tire Inspection

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (A) Cut Down_First Buff

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Injury (A) Texture_Second Buff

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (A) Fill Skive

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (A) Assemble Vulcanizing System

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (A) Prepare Inner Liner for Patch Installation

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury(A) Install Patch

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (B) Cut Down_First Buff

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Injury (B) Texture_Second Buff

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (B) Fill Skive

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (B) Assemble Vulcanizing System

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (B) Prepare Inner Liner for Patch Installation

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (B) Install Patch

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (C) Cut Down_First Buff

    • 1.0
    • 1.5
    • 2.0
    • 2.5
    • 3.0
    • 3.5
    • 4.0
    • 4.5
    • 5.0
    • 5.5
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • 10.0
    • 10.5
    • 11.0
    • 11.5
    • 12.0
    • 12.5
    • 13.0
    • 13.5
    • 14.0
    • 14.5
    • 15.0
    • 15.5
    • 16.0
    • 16.5
    • 17.0
    • 17.5
    • 18.0
    • 18.5
    • 19.0
    • 19.5
    • 20.0
    • 20.5
    • 21.0
    • 21.5
    • 22.0
    • 22.5
    • 23.0
    • 23.5
    • 24.0
    • 24.5
    • 25.0
    • 25.5
    • 26.0
    • 26.5
    • 27.0
    • 27.5
    • 28.0
    • 28.5
    • 29.0
    • 29.5
    • 30.0
    • 30.5
    • 31.0
    • 31+
    • NONE

  • Injury (C) Texture_Second Buff

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (C) Fill Skive

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (C) Assemble Vulcanizing System

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (C) Prepare Inner Liner for Patch Installation

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Injury (C) Install Patch

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours

  • Final Inspection, Clean up & Documentation

    • .25 hours
    • .50 hours
    • .75 hours
    • 1.0 hours
    • 1.25 hours
    • 1.50 hours
    • 1.75 hours
    • 2.0 hours
    • 2.25 hours
    • 2.50 hours
    • 2.75 hours
    • 3.0 hours
    • 3.25 hours
    • 3.50 hours
    • 3.75 hours
    • 4.0 hours
Data Collection Tire Repair_Rema Tip Top
William Kitchens

Data Collection Tire Repair_Rema Tip Top

Internal Quality Control

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

Related checklists

back arrow for carousel
back arrow for carousel
iAuditor Logo Icon ©SafetyCulture 2022