How to Fill Out Wearcheck Oil Sample Forms
The sample information form allows the laboratory to match the current sample with historical data from that piece of equipment. The form also contains information such as miles on oil, which aids the laboratory in providing the oil analysis user with proper evaluation of test data*. Complete the form as follows: |
- Customer Code – If unknown, leave blank. This number may be preprinted by the laboratory.
- Unit ID Number – This is the piece of equipment’s identifying number, this must be filled in.
- Unit Make – Manufacturer of Unit.
- Unit Model – Model number of Unit.
- Serial No. – Component Serial number.
- Component Make – Manufacturer of component
- Component Model – Model number of component.
- Component Sampled – Circle the location from where the sample was drawn, i.e. hydraulic, engine, gearbox. If not listed, please circle other and write in the component.
- Location – If applicable, circle the location of the component.
- Filter Type – Circle type of filter.
- Filter Micron Rating – Smallest micron rating of filter
- System Oil Capacity – Amount of reservior, qts or gallons
- Brand & Type of Oil – Manufacturer of oil and SAE grade
- Additive Used – Circle yes or no.
- Fuel Used – Circle one
- Coolant Type – Circle one
- Comments – Indicate any recent maintenance or operating problems.
- Sample Date – The sampling date/ Oil Added – How much oil has been added.
- Time Units – Indicate time on the oil in miles or hours.
- Total Time on Unit – Indicate time on the unit.
- Time on Oil – Indicate time on oil
- Time on Filter – Indicate time on filter
- Changed Oil – Circle yes or no.
- Serviced – Circle yes or no for filter service.
This top section above the dashed line should be kept for your records so you have a means to follow up if necessary. The WCM _________ code designates that the results will show up on the Kleenoil account on their website.
The section below the dashed line needs to be filled in COMPLETELY with the customers company information: Serial No. = Not necessary Unit ID = i.e. Toms Truck System Oil Capacity = i.e. 8 quarts Filter Type = i.e. most of the time would be Element This very bottom section is the MOST IMPORTANT one of all. ALL FIELDS NEED TO BE FILLED IN COMPLETELY! Sample Date = i.e. 1/25/2005 |
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