Impulse Tool - Tare down Report

• Site conducted

  Roma

• Conducted on

  Date

• undefined

• Prepared by

  Select Thomas Gibbs Justin Jackson

  • Thomas Gibbs
  • Justin Jackson

• Location

  Tasman Workshop

• Tool Size

  6-3/4"

  5"

  3-1/8"

• Serial Number

Restrictor housing

• Break out

  Yes

  No

  N/A

• Visual for any obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Rotor Assembly

• Remove rotor assembly

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Flex Housing

• Break out

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Stator Housing

• Break out

  Yes

  No

  N/A

• Visaully inspect for obvious damge

  Good

  Fair

  Poor

  N/A

• Issue

• Stator Hours

Catch Housing

• Visually Inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Enhancer Housing

• Break out

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Enhancer Nut

• Break out

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

• Document condition of seals

  Good

  Fair

  Poor

  N/A

Floating Piston

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• undefined

Spring Housing

• Break out

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• undefined

Spring Pack

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Washpipe

• Break out

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Hex Housing

• Remove

  Yes

  No

  N/A

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Hex Mandrel

• Visually inspect for obvious damage

  Good

  Fair

  Poor

  N/A

• Issue

Additional comments

• Comments

• Select date

  Date

3rd party inspection report

• Report number

3rd Party Inspection report must be attached with this document