ECL3/ DATE : 26/03/2013

CEAT LIMITED, MUMBAI TYRE INSPECTION FORM

DISTRIBUTOR 3 T Tyre-Philippines CUSTOMER

SR. NO CLAIM NO. TYRE SIZE / PR / DESCRIPTION 1 1 1100R22.5 16 PR PRO R 10 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9

SERIAL NO.

FAILURE DETAILS

REMAINING TREAD DEPTH in mm. Left Left Right Right Side side1 side2 side1 2

PHOTO NO.

OPERATING CONDITIONS

CEAT Finding

Disposition

RTD in mm ORIGINAL Avg. NSD % WEAR 0 #DIV/0! 0 #DIV/0! 0

CEAT Authorized person name inspecting:

Date:

Note: please write remaining tread depth taken at min 4 places on both side of the tread & write on tread area & send photo. Besides one photograph of of Defect, & one of Serial number showing also SW markings.

CLAIM NO SIZE / PR / PLY RATING TYRE SR. NO DATE OF FITMENT DATE OF REMOVAL NO. OF HOURS DONE / KMS. COVERED NSD LEFT

Serial No

Brand

CLAIM NO SIZE / PR / PLY RATING TYRE SR. NO DATE OF FITMENT DATE OF REMOVAL NO. OF HOURS DONE / KMS. COVERED NSD LEFT

1100r22.5 16 PR PRO R10

Defect Picture

Defect Picture

Pattern

Tread Picture