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CATERPILLAR

ROUTING

SERVICE REPORT
1
SEG

DEALER WORK CUSTOMER


CODE ORDER NAME

EMPLOYEE EQUIPMENT
DATE
mo da yr IDENTIFICATIO LOCATION

CATERPILLAR CATERPILLAR INSTRUCTION


MODEL SERIAL NO.

HOURS MILES KILOMETERS

DID THIS INCIDENT


PART NUMBER DESC.* GROUP NUMBER MAKE THE PRODUCT DESCRIPTIVE COMMENTS
PART NAME QTY GROUP NAME
RESPONSIBLE CODE CONTAINING PART INOPERATABLE? (20 SPACES MAXIMUM PER INCIDENT)

Yes No

Yes No

Yes No

A- Structural C - Leaks E - System Malfunction G - General Repair K - Serviceability X - OPERATION


DESCRIPTION CODES * B- Surface D - Factory Assembly F - Factory Shipping H - Adjustment N - Abuse COMPLAINT
RELATED SERIAL NUMBERS COMPONENT ARRANGEMENT / LABOR MAN
DESCRIPTION

.
CATERPILLAR OEM PRODUCT TEST / SERIAL NUMBERS CODE HOURS

.
MODEL SERIAL NO. MAKE / MODEL COMPONENT NUMBER .

.
.
VEHICLE CONVIGURATION

DELIVERY
DATE DATE OF
LAST LABOR
WHAT WAS THE
CUSTOMER COMPLAINT

ADDITIONAL COMMENT ON
THE CAUSE OF FAILURE ?

WHAT WAS THE


RESULTANT DAMAGED ?

HOW DID YOU


REPAIR IT ?

CUSTOMER SATISFACTION
GOOD (9) FAIR (6) POOR (3)

COMMENT

CUSTOMER SERVICEMAN
SIGNATURE SIGNATURE
IF COPY OF THIS PAGE IS BEING SENT
== Sis ==
TO CATERPILLAR, COMPLETE FOLLOWING DEALER STORE == Sis ==

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