WesTrac Warranty Claim Form
IMPORTANT: - Part has to be returned to WesTrac within fifteen (15) days from failure; This form has to be completed by the Customer, failing to do so, warranty will be voided. * Mandatory fields to be filled in.
IMPORTANT: - Part has to be returned to WesTrac within fifteen (15) days from failure; This form has to be completed by the Customer, failing to do so, warranty will be voided. * Mandatory fields to be filled in.
Customer Details
Customer Details
Customer Trading Name
*
Contact Name
*
Telephone Number
*
Email Address
*
WA/NSW
Cat Model
Cat Serial Number
*
Original Purchase Document
*
Original Purchase Date
dd/mm/yyyy
Machine Commissioning Date
dd/mm/yyyy
Quantity of Parts
Failed Part Number
*
Part Location (RH LH/#1/#2)
Serial Number of failed component
Machine hours @ Fitment
*
Part Hrs/Kms @ Failure (Tonnes if applicable)
*
Date of Fitment
dd/mm/yyyy
Date of Failure
dd/mm/yyyy
Diagnostic Date: (required for machine control)
Diagnostic Data: Fault codes present at time
Add File Attachments i.e.photos,Log File, Incident Form, Out of Service Tag
Drop your files here
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Description of Failure
Description of Failure
Description of Failure
*
Failure (Other)
Cause
Correction
*
Complete if Replacement Part Supplied
Complete if Replacement Part Supplied
Replacement/Warranty Document Number
Date Replacement Part Supplied
dd/mm/yyyy
Complete if Repair Work has been carried out
Complete if Repair Work has been carried out
Repaired Work Order/Document Number
Description of Repairs
Additional information required (where applicable)
Additional information required (where applicable)
HMS Hydraulic Pump / Motor Failures - Oil Analysis
Unit Rig EWGU Failure and All Related Parts
P2 tag details for P/X parts
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*
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