[Date] OEM Engineer Name OEM Engineer Title OEM Name Address Line 1 Address Line 2 Address Line

3 OEM Engineer, [OEM Name] and [Cummins/Distributor name] have worked closely together to provide the end customer with a quality installation. Interfaces, requirements, and recommendations have been reviewed using the Cummins Installation Quality Assurance (IQA) process in addition to [OEM Name]s testing process. Attached is the review summary on the [engine model] engine installed in the [OEM Model] machine model. Due to similar designs of [OEM Model 1], [OEM Model 2], and [OEM Model 3], the installation for the [OEM Model Tested] will validate the installation for all models. In summary, the following requires resolution before production: [List issues that require resolution before production] [List issues that require resolution before production] [List issues that require resolution before production] Please provide [OEM Name]'s implementation plan for improving the application to concur with Cummins requirements and recommendations. [OEM Name] is responsible to advise Cummins of any on-going production or engineering changes made to the engine installation that may affect installation concurrence. This review is not intended to be a substitute for prototype performance and durability testing by [OEM Name] of the machine and shall in no way constitute a warranty or other legal obligation of Cummins. Although the engine installation interfaces with various other systems in the machine, there are several factors that a review cannot be expected to address and have not been evaluated unless specifically noted in this report: Component quality, workmanship, assembly practices, and endurance characteristics Acceptability to end users of subjective characteristics such as vibration and noise levels Machine application with regards to performance and type of service This report in no way reflects or assures market availability of the machine reviewed Sincerely, [AE Scanned Signature] [AE Name] OEM Application Engineer Cummins Inc. Cc: [List of direct stakeholders]

Cummins Confidential

Form Rev. 15-July-2010

Application Review Summary

The following table identifies the systems considered in the engine installation review. For each system, the table indicates if: The installation concurs with Cummins installation guidelines Changes are required to meet Cummins guidelines or for emissions compliance Suggested improvements or review are recommended to avoid possible future problems or to provide product improvement Further review is required to determine compliance with Cummins guidelines
Concurs with Cummins Installation Guidelines Changes Required To Meet Cummins Guidelines For Emissions Compliance Improvements or Review Recommended Further Review Required

System

Air Intake System Exhaust/AT System Engine Accessories Lubrication System Cooling System Fuel System Mounting System Electrical System Torsional Analysis Electronics Installation Accessibility

Cummins Confidential

Form Rev. 15-July-2010

Recommendations and Comments

Cummins Confidential

Form Rev. 15-July-2010

Installation Review Results Summary

System / Test Result Requirement Units

Intake System
Intake Restriction IMPD

AEB 24.21

Exhaust/Aftertreatment System
Exhaust Restriction Exhaust Leak Down Exhaust Temperature Drop Aftertreatment Vibration Exhaust Components Temperature

AEB 21.32/24.40

Engine Accessories
Max torque of aux. drive accessories Max torque of FEPTO accessories Max torque of REPTO accessories

AEB 21.37

Lubrication System
Machine side-to-side angularity Machine front-to-rear angularity If equipped, satisfies remote LF requirements? N/A

AEB 20.17
degrees degrees

N/A

Cooling System
Cooling System Components Drain Volume Coolant Fill Rate Deaeration Time Volume Not Filled at Initial Fill Drawdown Volume Expansion Space Performance Testing Date Location Ambient Temperature Limiting Ambient Temperature Intake Temperature Rise over Ambient IMTD or CAC delta T

AEB 24.18

[Date of Test] [Test Location]

Cummins Confidential

Form Rev. 15-July-2010

Fuel System
Fuel Supply Line Restriction Fuel Return Line Restricion Fuel Tank Temperature @ High Idle

AEB 24.10

Mounting System
Moment - Front Side Pad Moment - Front Face of Block Moment - Rear Face of Block Moment - FH Side Pad

AEB 21.36

Electrical System
Starter Motor Testing Temperatures Engine Cranking Speed Average Current Circuit Resistance Solenoid Voltage Drop Alternator Maximum Alternator Current Alternator Voltage Battery Voltage System Voltage Drop

AEB 24.53
[ST Option] - [Make/Model of Starter] Oil - [Temp] Amb - [Temp] N/A RPM Amps Ohms Volts Amps Volts Volts Volts

[EE Option] - [Make/Model of Starter] N/A N/A N/A

Torsional Analysis / Drivetrain

Inertia of direct mounted components TVA completed and results included? N/A

AEB 21.37 N/A

Electronics
Calibration checkout completed? OEM accepted response and stability? N/A N/A

AEB 15.XX N/A N/A

Installation Accessibility
Accessibility Rating Service Accessibility
N/A N/A N/A N/A

Test completed at rated power and speed, or worst case duty cycle If tested in low ambient conditions, please refer to AEB 24.18

Cummins Confidential

Form Rev. 15-July-2010

Application Details
Original Equipment Manufacturer: Machine Model: Machine Serial Number: Type of Equipment: Machine Function(s) and Description: New or Re-power (previous power): Engine Specification Number: Customer Code: Engine Model: Engine Configuration Number: Engine Serial Number: Engine Fuel Rating: Rated Power @ RPM: Peak Torque @ RPM: Anticipated Load Factor: Anticipated Speed Factor: Service Accessibility Code: Procedure to Load Machine: [OEM Name] [Machine model tested] (Tested) [Additional machine models validated] [Machine serial number, if available] [Machine type] [Describe machine functions and typical locations where used] [New or Re-power] (Previously [Power solution]) [Customer specification / Part number] [Customer code] [Engine model] [Engine technical configuration number] [Engine serial number] [FR Rating] [Rated power] @ [Rated speed] RPM [Peak torque] @ [Peak torque speed] RPM [Load factor]% [Speed factor]% [Overall service accessibility rating] [Describe prcedure to load machine while completing tests in loading condition]

Cummins Confidential

Form Rev. 15-July-2010

Installation Pictures

Air Intake System

Exhaust System

Engine Accessories

Lubrication System

Cooling System

Fuel System

Mounting System

Electrical System

Torsional Analysis / Driveline

Electronics

Installation Accessibility

Cummins Confidential

Form Rev. 15-July-2010

Revision Details
Date 6/11/2012 Description Author Liz McLean Added comments to the Summary Letter page stating what to put on lines 30 and 31 if you are from a Distributor. Page Summary Letter

Cummins Confidential

Form Rev. 15-July-2010