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TYRE FAILURE FIELD REPORT

Finixx Global Industry Co. Ltd,

E-mail: sales@finixx.com

Bangna-Trad, Bangna Bangkok, 10260

Bangkok Office:

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TYRE FAILURE FIELD REPORT

Claim No.:——————————————— Date of Claim: (dd/mm/yyyy) —————————————

Owner/User Fleet (Commercial use only)

Name: Name:

Address: Address:

Phone: Phone:

Email: Email:

Dealer Distributor

Name: Name:

Address: Address:

Phone: Phone:

Email: Email:

City/Country Invoice No.

Vehicle Information

Type of Vehicle (Refer to page 5): No: ———————— Type of Trailer (Refer to page 5): No: ————————

Year: Make: Model:

Original Equipment:

Yes

No

VIN Number:

Vehicle License Plate No.: Average Speed (KM):

Load Information:

Road Surface:

Extremely Rough/Mining

Rough/Unpaved

Paved

Highway/Express way

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TYRE FAILURE FIELD REPORT

Claimed Tyre Information

Brand: Finixx Pattern name: Size: Ply:

Load Index: Speed Symbol: Tyre ID: DOT code:

Original Tread Depth (mm): Remaining Tread Depth (mm):

Tyre Rotation

Time (s) of Tyre rotation: Rotating mileage (km):

Tyre Rotation Date (s): Used Air Pressure (PSI):

Tyre Position (Check mark the claimed tyre position)

Install date: (dd/mm/yyyy) Removal Date: (dd/mm/yyyy)

Install Mileage (Km): Removal Mileage (Km):

Total Mileage (Km):

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TYRE FAILURE FIELD REPORT

Description of damage:

Picture 1: (Photo of Failure Part) Picture 2: (Photo of inner part of failure)

Picture 3: (Photo of tyre size) Photo of DOT code and Tyre ID:

Checked By:—————————————————————————

Tyre Damage Date:(dd/mm/yyyy) Damage Code: (P 6-7)

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Vehicle TYPE AND WEIGHT CLASS

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CLASSIFICATION OF TYRE DAMAGE

Crown Detailed Description Damage Code Manual Ref.(page)

Crown Separation CR 01 12

Tread Open Splice TR 02 13

Belt Separation CR 03 14

Crown Wire Exposed CR 04 15

Crown Break CR 05 16

Crown Penetration CR 06 17

Crown Flake Chipping-Scaling CR 07 18

Crown Irregular Wear CR 08 19

Groove Cracking CR 09 20

Sidewalls

Detailed Description Damage Code Manual Ref.(page)

Sidewall Separation SW 02 21

Blister Of Sidewall SW 07 22

Sidewall Cracking SW 08 23

Sidewall Abrasion / Scuff Damage SW 09 24

Sidewall Radial Cracking SW 10 25

Cuts And Snags On Sidewall SW 11 26

Beads

Detailed Description Damage Code Manual Ref.(page)

Bead Cracking BD 13 27

Bead Separation BD 14 28

Bead Chafe BD 15 29

Burned Bead BD 16 30

Bead Tearing BD 07, T 12 31

Bead Bursting BD 17 32

Bead Deformation BD 18 33

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CLASSIFICATION OF TYRE DAMAGE

Inner Liner

Detailed Description Damage Code Manual Ref.(page)

Innerliner Leaving Casing CS 01 40

Innerliner Bubbles / Blisters CS 06 41

Pulled / Loose Cords CS 08 42

Impact Break CS 14 43

Tube

Detailed Description Damage Code Manual Ref.(page)

Damage from Foreign Matter TB 01 38

Pin Holes TB 02 39

General

Detailed Description Damage Code Manual Ref.(page)

Pin hole GL 01 44

Out of Round (Vibration) GL 02 45

Foreign Matter GL 03 46

Pattern Later GL 04 47

Tyre Repair GL 05 48

Ozone Cracking GL 06 49

Shoulder

Detailed Description Damage Code Manual Ref.(page)

Shoulder Separation SD 05 34

Shoulder Cracking SD 06 35

Shoulder Break SD 07 36

Cut Penetration On Shoulder SD 08 37

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