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DIMENSION INSPECTION REPORT
CLIENT PT KOMATSU INDONESIA REPORT NO. DIR /
MODEL PC 850 INSPECTION DATE 14 - April - 2025
SERIAL NUMBER SHEET NO. 1 Of 1
HEADMARK BACKPLATE 003 REVISI R.0
EQUIPMENT
NO EQUIPMENT NAME SERIAL NUMBER VALID DATE USER
1 M5 M5-QC-64 21 Juli 2025 PANJI PURNAMA
2 Try Square 3M 21 September 2025
PANJI PURNAMA
WEIGHT 11.850 ± 50
SKETCH
Convex
Concave
REFER DIMENSIONAL CHECK PROCEDURE FOR LOCATION OF DIMENSIONAL POINTS
NO OF POINTS 1 2 3 4 5 VISUAL
A 0 0 0,5 0 0 ACC
LH B 0 2 2,5 2 0 ACC
C 0 0 0,5 0 0 ACC
NO OF POINTS 1 2 3 4 5 VISUAL
A 0 0 0 0 0 ACC
RH B 0 0 0 0 0 ACC
C 0 0,5 3 0,5 0 ACC
NO OF POINTS A B C D E VISUAL
1 0 6 6,5 5 0 ACC
MID 2 0 11,5 14 11 0 ACC
3 0 6,5 6,5 5 0 ACC
Inspected By, Review / Witnessed By, Review / Witnessed By,
Dimensional Inspector QC Supervisor / Cordinator Client Inspector
