QDOC77 Power Outage Report Form

• Date:

  Date

• Completed by:

  Alex Rudd

  Joe Luke

  Peter Blair

• Name

• Time of outage:

• Time Power restored:

• Total time of power outage (in minutes):

• Action taken:

• Vulcaniser cycle restarted:

  Yes

  No

• Reason for not starting vulcaniser cycle

ALL SLEEVES ARE TO BE REJECTED NO EXCEPTIONS

Vulcaniser numbers and rejected sleeves

• No of sleeves rejected:

• Sleeve type

  Select Big KAB Small KAB Dunlop

  • Big KAB
  • Small KAB
  • Dunlop

• Part number

To be completed by Engineering

• Action taken to restore power

• Are boilers working ok?

  Yes

  No

• Pressure gauge on vulcanisers running at 8 Bar

  Yes

  No

• Action to be taken to elimante recurrence

• Any additional comments: