Customer Fault Record

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FAULT SUMMRY

• Fault Number

• Fault Code

• Fault information

TIME ENTRY

• Time Received

  Date

• Start Time

  Date

• Finish Time

  Date

• Time Supply Restored

  Date

• Total Hours

• ORDH Hours

• Overtime Hours

COMMENTS

• Comments

POLARITY TEST

• Polarity Test

  Yes

  No

  N/A

• A - N

• B - N

• C - N

• A - B

• B - C

• C - A

• A - Independent Earth

• B - Independent Earth

• C - Independent Earth

• N - Independent Earth

• Tong - A

• Tong - B

• Tong - C

• Phase Rotation For A Disconnect

  Clockwise

  Anti Clockwise

• Phase Rotation Confirmed at Reconnect

  Yes

  No

  N/A

SUB CONTRACTORS

• Reinstatement Required

  Yes

  No

  N/A

• Purchase Order Raised

  Yes

  No

  N/A

• Purchase Order Number

• Other Contractor Required

  Yes

  No

  N/A

• What contractor is required

• AsBuilt Required

  Yes

  No

  N/A

• Health & Safety Form Complete

  Yes

  No

  N/A

• Billable

  Yes

  No

  N/A

• Job Complete?

  Yes

  No

  N/A

STORES REQUISITION

• Item #

• Description

• Quantity

• Item #

• Description

• Quantity

• Item #

• Description

• Quantity

• Item #

• Description

• Quantity