BPHL - Call Out Form V6

• Plot No / Address

• Audit Title

  Emergency Repair

  Maintenance Call

• Customer Name

• Attended By

  BPHL

  GDC

• In the case of 'Other' Please insert Full Name of Attendee

PROPERTY DETAILS

• Date

  Date

• Calling Card Left (Insert Time and Date) provide evidence of card being left

  Media
• Address
  Address

DEFECT DETAILS

Defect

• Defect Type

  Select Maintenance Wear and Tear Vandalism Installation Defect Other Manuafacturer Fault

  • Maintenance
  • Wear and Tear
  • Vandalism
  • Installation Defect
  • Other
  • Manuafacturer Fault

• If 'Other' Please Give Description

• Description of Defect

• Image of Defect

  Media

• Works Carried Out

• Image of completed works

  Media

• Materials used? if YES please state below

  Yes

  No

  N/A

• Materials Used

• Return Visit Required?

  Yes

  No

  N/A

• Estimated Cost of Materials (£)

• Start Time?

  Date

• Finish Time?

  Date

• Total Time (Hours and Minutes) to complete works including travel

OCCUPANT SIGN OFF

• Print and Sign (Occupant)

  Sign

• Print and Sign (Engineer)

  Sign

• BY SIGNING THIS FORM YOU ARE CONFIRMING THE WORK HAS BEEN COMPLETED AND YOU ARE SATISFIED WITH THE REPAIR OR THE TEMPORARY RESOLUTION UNTIL THE REPAIR CAN BE COMPLETED.