Title Page

  • Work Location:

  • Date:

  • Technician:

  • Equipment Description (Make/Model/Unit #):

  • Equipment Serial Number
  • Attachment Serial Number

  • Non-Lampson Owned Equipment Description:

Equipment Service Report

Section 1: Equipment / Project Details

  • Lessee (Customer):

  • On-Site Contact

  • Project Address

  • City

  • Province

  • Phone

  • Email

  • Hour Meter

  • Describe Job Site Conditions:

  • Equipment Photo's:
  • Equipment Photos

  • Job Site Photos:

Section 2: Reason For Service

  • Customer Complaint

  • Describe the Complaint

  • Preventative Maintenance

  • Scheduled Service

  • Other

  • Section 2 Remarks

  • Section 3 Diagnosis / Repair / Service
  • Component / System:

  • Diagnosis:

  • Repairs Made / Service Performed:

  • Additional Issues Identified:

  • Comments / Remarks

  • Technician / Mechanic performing work:

  • Labor Hours

  • Total hours

  • Total Hours

Section 4 Parts / Fluids / Consumables Used:

Parts List

  • List of Part / Part Number / Quantity used

Fluid List

  • List of Fluids / System / Quantity used

Other Consumable

  • List of other Consumables, etc. used

  • Wire Rope
  • Wire Rope Diameter

  • Length

  • System

  • Reel Number or Certification Number

  • Section 4 Remarks

Signatures

  • Service Technician

  • Signature

  • Client Representative

  • Signature

  • Additional Photos
  • Attach and Describe Photos

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.