Broken furniture and equipment service report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Damaged equipment/furniture

• Collect and report equipment damaged equipment to building management. Keep copy of report with broken equipment and have signed off after service. Return final report to building management.

• Collection / reported Date

  Date

• Equipment

  Yes

  No

  N/A

• Model

  Yes

  No

  N/A

• Serial number

  Yes

  No

  N/A

• Identify fault or damage

  Yes

  No

  N/A

• Photo of damage or equipment

  Media

Servicing of equipment/furniture

• Service date

  Media

• Fault report - status and report of equipment/furniture

  repaired

  damaged

  exchange

• Sign off after completed service

  Sign