Title Page
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RGA #
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Conducted on
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Prepared by
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Customer Name
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Customer Warranty Number
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Customer Part Number
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Hyco Part Number
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Hyco Serial Number
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Hyco Mfg. Date
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RGA Date Issued
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RGA Date Received
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RGA Date Completed
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Reason for Return (Customer Complaint)
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Take Picture of How Cylinder was Return
Initial Evaluation (External)
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Is this a rod or telescopic cylinder?
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Place cylinder on test stand to extend for inspection.
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Was failure mode confirmed?
- Bypassing
- Weld Leaks
- Seal Leaks
- Miss-staging
- Would not Extend
- Would not Retract
- Paint Damage
- Chrome Damage
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Was oil sample taken?
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Why was oil sample not taken?
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Did oil sample show contamination?
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Barrel Part Number
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Base End/Head/Cap Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Barrel Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Feeder Tube Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Rod Part Number
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Rod OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Rod Piston Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger End Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Place cylinder on test stand to extend for inspection.
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Was failure mode confirmed?
- Bypassing
- Weld Leaks
- Seal Leaks
- Miss-staging
- Would not Extend
- Would not Retract
- Paint Damage
- Chrome Damage
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Was oil sample taken?
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Why was oil sample not taken?
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Barrel Part Number
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Base End/Head/Cap Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Barrel Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Feeder Tube Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Sleeve (1) Part Number
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Sleeve Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Sleeve (2) Part Number
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Sleeve Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Sleeve (3) Part Number
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Sleeve Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Sleeve (4) Part Number
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Sleeve Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Sleeve (5) Part Number
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Sleeve Tube OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Gland Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Rod Part Number
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Rod OD Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger End Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Plunger Head Inspection
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
Further Evaluation (Internal)
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Does cylinder need to be disassembled for further evaluation?
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Rod or Telescopic
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Barrel Tube ID
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Rod Tube ID
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Rod Piston
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Seals
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Barrel Tube ID
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Rod Tube ID
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Sleeve 1 Tube ID
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Sleeve 2 Tube ID
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Sleeve 3 Tube ID
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Sleeve 4 Tube ID
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Sleeve 4 Tube ID
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Piston
- Good
- Normal Wear
- Light Scratches
- Severe Scratches
- Dings/Dents
- Unrepairable
- Not Inspected
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Seals
Repair Recommendation
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Barrel
- Use as is
- Hone/Skive ID
- Replace component parts
- Replace full assembly
- N/A
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Rod
- Use as is
- Polish OD
- Hone/Skive ID
- Strip, Repair, Replate
- Replace component parts
- Replace full assembly
- N/A
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Sleeve(s)
- Use as is
- Polish OD
- Hone/Skive ID
- Strip, Repair, Replate
- Replace component parts
- Replace full assembly
- N/A
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Piston
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Gland
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Seals
- Replace All Seals
- Replace Rod Seals
- Replace Sleeve Seal(s)
- Replace Piston Seals
- Replace Gland Seals
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Test
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Paint
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Is this a warrantied cylinder?
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Can this cylinder be repaired
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STOP!! Contact Quoting. Repair Quote Must be Submitted and Accepted Before Repairs are Made!!
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Contact customer service and let them know evaluation recommendation.
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Can cylinder be repaired?
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STOP!! Contact warranty manager before performing any repairs!
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Contact warranty manager to issue credit.
