Title Page
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Work Location:
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Date:
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Technician:
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Equipment Description (Make/Model/Unit #):
Equipment Serial Number
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Attachment Serial Number
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Non-Lampson Owned Equipment Description:
Equipment Service Report
Section 1: Equipment / Project Details
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Lessee (Customer):
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On-Site Contact
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Project Address
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City
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Province
- BC
- AB
- SK
- MB
- ON
- QC
- NB
- NS
- NL
- PEI
- YK
- NWT
- NV
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Phone
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Email
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Hour Meter
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Describe Job Site Conditions:
Equipment Photo's:
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Equipment Photos
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Job Site Photos:
Section 2: Reason For Service
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Customer Complaint
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Describe the Complaint
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Preventative Maintenance
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Scheduled Service
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Other
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Section 2 Remarks
Section 3 Diagnosis / Repair / Service
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Component / System:
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Diagnosis:
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Repairs Made / Service Performed:
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Additional Issues Identified:
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Comments / Remarks
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Technician / Mechanic performing work:
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Labor Hours
- Regular
- Overtime
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Total hours
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Total Hours
Section 4 Parts / Fluids / Consumables Used:
Parts List
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List of Part / Part Number / Quantity used
Fluid List
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List of Fluids / System / Quantity used
Other Consumable
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List of other Consumables, etc. used
Wire Rope
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Wire Rope Diameter
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Length
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System
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Reel Number or Certification Number
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Section 4 Remarks
Signatures
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Service Technician
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Signature
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Client Representative
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Signature
Additional Photos
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Attach and Describe Photos
