ABB GIS Field Service Report

• Client / Site

• Equipment Type

• Prepared by

• Location
  Address

• Report Date

  Date

• ABB Inc.
  Power Products Divison
  100 Distribution Circle
  Mount Pleasant, PA 15666

1. Technical Job Information

Service Engineer

• Name

• Phone Number

• Email address@us.abb.com

• Date of Service

  Date

• Date of Report

  Date

• ABB Job Number

Equipment information

• Customer / Equipment Owner

• Equipment Location / ID

• Equipment Location
  Address

• Equipment Type

• Picture(s) of Equipment or Problem area

  Media

• Equipment Serial Number

• Year of Manufacture

• Type of Mechansim

• Mechanism Serial Numbers

• Breaker Operation Counter

• Mechanisms Pump Start Counters

• Number and outline the problems reported leading up to the visit

Problem

2. Customer Information

• Customer POC name:

• Customer POC email address:

• Customer POC phone number:

• INSTRUCTIONS:
  -------------------------------------
  1. Answer the applicable questions below.
  2. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  3. Complete audit by providing digital signature.
  4. Share your report by exporting as PDF, Word, Excel or Web Link.

3. Situation Found On Site

• Which Case best describes the on-site situation?

  Select In Service Out of Serice Grounded Disconnects Open & Locked LOTO Other

  • In Service
  • Out of Serice
  • Grounded
  • Disconnects Open & Locked
  • LOTO
  • Other

• Is this an ABB quality defect?

  Yes

  No

  N/A

• What is the source of the Defect?

  Factory Build

  Installation and Commissioning

  Undetermined

• Elaborate on the situation Found On Site

• Add media

  Media

4. Work Performed

• Detail all work performed on site

• Please include Pictures

  Media

• Add drawing

  Drawing

• ABB Test Equipment Used: Click "Add Equipment"

Equipment

• ABB Test Equipment Used with ID Number

5. Problems/Solutions

• Has the problem been solved?

  Yes

  No

  N/A

• Describe Additional work that will be necessary. Please Delegate action items accordingly

• Please add any relevant pictures

  Media

• Add drawing

  Drawing

• Describe how the problem has been solved

• Please add any relevant pictures

  Media

• Add drawing

  Drawing

6. Parts and Tools

• List spare parts used during this service: "Click add Part"

Part

• Spare part used with Serial or Part Number

• List Tools and equipment numbers used: "Click add Tool/Equipment"

Tool/Equipment

• Tools and equipment used

7. Drawings

• Do any equipment drawings need to be acquired or changed?

  Drawings are Needed

  Drawings Need to be Revised

  N/A

• List the necessary drawings and create an action item

• List the drawings that need to be revised and create an action item

8. Additional Work

• Do you recommend additional work at this site?

  Yes

  No

  N/A

• Please detail any additional work that will be necessary and create action items

• Please Detail any additional parts (if necessary) for this work and create action items

• Please List any additional customer comments, if necessary

COMPLETION

• Completed by

  Sign