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LT_3722_v8_MRO.qxp 11/5/07 3:02 PM Page 52 Name: ______________________________________ Area: ______________________________________ Reliability Improvement Suggestion 1. Problem Equipment ______________________________________________ Department or Area ____________________________________________ Describe problem including failing components: ________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ How often does this happen?________________ Times per month______________ Times per year Describe negative impact: ________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ Describe your intended actions including products to be used:______________________________________________________________________________ ______________________________________________________________________________________________________________________________ Necessary products issued?Yes No Need Loctite rep help? Yes No 2. Problem Equipment ______________________________________________ Department or Area ____________________________________________ Describe problem including failing components: ________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ How often does this happen?________________ Times per month______________ Times per year Describe negative impact: ________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ Describe your intended actions including products to be used:______________________________________________________________________________ ______________________________________________________________________________________________________________________________ Necessary products issued?Yes No Need Loctite rep help? Yes No Additional Training Needed Topics (Check appropriate boxes) Comments Mechanical Basics & Failure Root Causes__________________________________________________________________________________ Rebuild/Resurface ShaftsWear Prevention__________________________________________________________________________________ Machine Base Grouting __________________________________________________________________________________ Belt Jointing & Repair __________________________________________________________________________________ Floor Repair & Resurface __________________________________________________________________________________ Anti-Slip Safety Flooring __________________________________________________________________________________ Corrosion Protection (tanks, decking, etc.)__________________________________________________________________________ Training Critique Check appropriate boxes Great O.K. Poor I learned useful information and proactive techniques for my job The instructor was well informed and his style made it easy to learn The examples helped me to understand where I can help increase reliability The demos and visual aids were used effectively and helped me learn The reference handouts are on target and will be helpful reminders Length of class Too Long Just Right Too Short Pace of class Too Fast Just Right Too Slow Comments: ________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Henkel Corporation, Engineering Adhesives 1001 Trout Brook Crossing, Rocky Hill, CT, 06067 � www.henkelna.com/mro � www.loctite.com Except as otherwise noted, � and TM designate trademarks of Henkel Corporation or its Affiliates. � denotes a trademark registered in the U.S. Patent and Trademark Office. Krytox is a registered trademark of E.I. DuPont de Nemours Co., Inc. UL is a registered trademark of Underwriter's Laboratories, Inc. NSF is a registered trademark of NSF International. CSA is a registered trademark of CSA International. � Henkel Corporation, 2007. All rights reserved. Printed in the U.S.A.
Goodyear Rubber Products
