Display Damage Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Delivery Information

• Delivery Company:

• Photos:

  Media

• Notes:

Damaged Unit Inspection

• Press the button on the right to add a Unit.

Unit #

• Manufacturer:

  Select Samsung Toshiba

  • Samsung
  • Toshiba

• Model:

  Select DE40A

  • DE40A

• Model:

  Select 22DL702B

  • 22DL702B

• Serial Number: (Use barcode scanner button on bottom right of text box)

• Condition on Power Up:

  Select Pass Fail

  • Pass
  • Fail

• Damage Detail:

• Photos:

  Media

• Signature - Inspector:

  Sign

• Signature - Client:

  Sign

• Signature - Shipper:

  Sign