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Bad performance Report

INSURANCE/NON INSURANCE
PLEASE REMARK IF Insurance claim

Site D125_Maur Baru

Document Version: 1.0


Date: 25 Okt 2016

PT. HUAWEI SERVICES


Incident Network

Incident Detail
Site ID D125
Site Name Maur Baru
Area Mgr / Region Southern West / Southern Sumatera
Date/Time Problem 25 Oktober 2016
Incident Battery rectifier defect
TT / WO & Description :
CM-20161025-05819

Item name : Battery rectifier Powerfit FT110-12


Quantity : 1 bank / 4 pcs
Date evidence:
PR no

I. INCIDENT CHRONOLOGY (describe chronology incident based


on real condition)

Date/Time Description

Mr Sumardiyanto CM site D125_Maur Baru and Test Battery no backup Power


25 Okt , 2016 / 12:40 WIB
PLN of

25 Okt , 2016 / 13.00 WIB Mr. Sumardiyanto Measure battery by ebims

25 Okt , 2016 / 14.00 WIB Battery broken satmid IR by Ebim

II. IMPACTED (describe impact of incident)

No backup power when PLN off

III. DETAIL ASSET (describe detail of asset due incident)

Assert Stolen/Damage After Recovery

NO Asset Name Impact Qty Material ID Price EWO

Commercial in Confidence Page 2 of 5


Incident Network

(per meter Price Material


NE System / unit) Total EWO
Battery Powerfit
1 BTS 2G&3G 4

IV. DOCUMENTATION

Foto material site


Photo evidence Photo 1 ( material on site, photos open door) Photo 2 (material on site, including item)

Before
Installation:

Commercial in Confidence Page 3 of 5


Incident Network

Remark( If Photo
not complete)

After
Installation:

Remark( If Photo
not complete)

Berita Acara Polisi/ Police Report

Commercial in Confidence Page 4 of 5


Incident Network

Remark:(If
Police
report not
available) :
PIC FOP Manager & GM

Name/ID : Name/ID:
Date & time : Date & time :

Commercial in Confidence Page 5 of 5

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