Name of the company

Field of activity

Number of people in the company

Adress

Name of the contact

Function

Since

Tel / Mobile

E-mail

Website

Machine Type

Machine(s) Number

Motorization(s) Electric Brushless Battery Pneumatic Hydraulic

Motor(s) Number

Date of purchase(s)

Date of previous repair(s)

Previous repair(s) provided by

Nature of the repair(s)

Specific remarks related to previous repair(s)

Operating hours

OD Ø from :

ID Ø from :

Range(s) of wall thickness of the tubes:

Types of materials to machine :

Type of components to machine (tube, pipe, fitting, micro fitting, elbow*, flange, valve, heat exchanger, steam generator, other):

Accessories, options used to operate the machine(s) (types of tooling, cutting tools, tool inserts, lubrication systems):

Maintenance frequency

The machine is returning for : a maintenance a repair a diagnostic

Context of the machine's use when the problem/failure was observed :

Rotation speed

Cutting depth

Machine feed

Tools references

For hydraulic motor drives : power pack flow rate

Type of components to machine (tube, pipe, fitting, micro fitting, elbow*, flange, valve, heat exchanger, steam generator, other):

Main tube parameters to be considered when the problem/failure was observed :

Main diameters parameters to consider :

from :

to

Materials to consider :

* champs obligatoires
Conformément aux dispositions de la loi du n°78-17 du 6 janvier 1978, vous disposez d'un droit d'accès de rectification et d'opposition sur les données nominatives vous concernant.

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