Title Page

  • Document No.

  • EL ITEM NUMBER / CISLO EL DILU

  • ITEM NAME / NAZEV DILU

  • PROJECT NUMBER / CISLO PROJEKTU

  • CHECKED BY / KONTROLOVAL

  • CHECKED ON / KONTROLOVANO DNE

PROBLEM SOLVING

HEADER

  • CONTAINER NO. / CISLO CONTAINERU

  • PHOTO BEFORE CHECKING / FOTO PRED KONTROLOU

  • AMOUNT OF PEACES / POCET KUSU

  • SUPPLIER NO / CISLO DODAVATELE

  • ARE ALL ITEMS OK? / JSOU ITEMY VPORADKU?

  • AMOUNT OF THIS PCS ON STOCK / CELKOVY POCET KUSU TOHOTO ITEMU NA SKLADĚ

  • AMOUNT OK PCS / POCET OK KUSU

  • AMOUNT NOK PCS / POCET NOK KUSU

  • NOTE

  • DEFECT CODE /KOD VADY

  • PROBLEM DESCRIPTION / POPIS PROBLEMU

  • PROBLEM TYPE / TYP PROBLEMU

  • PHOTO OF PROBLEM / FOTO PROBLEMU

PROBLEM SOLVING / RESENI PROBLEMU

  • PROBLEM SOLVING TYPE / ZPUSOB RESENI PROBLEMU

  • PROBLEM CAUSE / PRICINA PROBLEMU

  • IMMEDIATE ACTION / OKAMZITE OPATRENI
  • IMMEDIATE ACTION NAME/ NAZEV OKAMZITEHO OPATRENI

  • IMMEDIATE ACTION DESCRIPTION / POPIS OKAMZITEHO OPATRENI

  • RESPONSIBLE FOR IMMEDIATE ACTION / ZODPOVEDNY ZA OKAMZITE OPATRENI

  • DUE DATE FOR IMPLEMENT IMMEDIATE ACTION / TERMIN PRO ZAVEDENI OKAMZITEHO OPATRENI

  • IMMEDIATE ACTION DONE DATE / OKAMZITE OPATRENI BYLO PROVEDENO DNE

  • PREVENTIVE ACTION / PREVENTIVNI OPATRENI
  • PREVENTIVE ACTION NAME / NAZEV PREVENTIVNIHO OPATRENI

  • PREVENTIVE ACTION DESCRIPTION / POPIS PREVENTIVNIHO OPATRENI

  • RESPONSIBLE FOR PREVENTIVE ACTION / ZODPOVEDNY ZA PREVENTIVNI OPATRENI

  • DUE DATE FOR IMPLEMENT PREVENTIVE ACTION / TERMIN PRO ZAVEDENI PREVENTIVNIHO OPATRENI

  • PREVENTIVE ACTION DONE DATE / PREVENTIVNI OPATRENI BYLO ZAVEDENO DNE

  • RESPONSIBLE / VINIK

  • IS RESPONSIBLE TRANSPORT COMPANY OR EYELEVEL? / JE VINIKEM DOPRAVCE NEBO EYELEVEL?

  • DO WE KNOW RESPONSIBLE PERSON? / ZNÁME KONKRETNIHO VINIKA?

  • NAME OF RESPONSIBLE PERSON / JMENO VINIKA

  • NAME OF TRANSPORT COMPANY / JMENO DOPRAVNI SPOLECNOSTI

  • SUPPLIER NAME / NAZEV DODAVATELE

  • SUPPLIER NUMBER / CISLO DODAVATELE

  • DO WE KNOW RESPONSIBLE PERSON? / ZNAME KONKRETNIHO VINIKA?

  • NAME OF PM / JMENO PM

  • DO WE KNOW RESPONSIBLE PERSON? / ZNAME KONKRETNIHO VINIKA?

  • NAME OF RESPONSIBLE PERSON / JMENO VINIKA

  • IS THE PROBLEM CONNECTED WITH INSURED EVENT? / JE S PROBLEMEM SPOJENA POJISTNA UDALOST?

  • INSURED EVENT NUMBER / CISLO POJISTNE UDALOSTI

  • INSURED EVENT NOTES / POZNAMKY K POJISTNE UDALOSTI

  • PHOTO OF INSURED EVENT FORM / FOTO FORMULARE SKODNE UDALOSTI

PAYMENTS / POPLATKY

  • DO WE REQUIRE ADMINISTRATIVE FEE / JE UCTOVAN ADMINISTRATIVNI POPLATEK ?

  • AMOUNT OF THE CHARGE / VYSE POPLATKU (CZK)

  • ARE THERE ANY ADDITIONAL COSTS FOR TRANSPORT? / VZNIKLY VICENAKLADY ZA DOPRAVU?

  • AMOUNT OF THE CHARGE / VYSE POPLATKU

  • ARE THERE ANY PENALTIES? / JSOU S PROBLEME SPOJENY PENALIZACE?

  • AMOUNT OF CHARGE / VYSE PENALIZACE

  • ARE THERE ANY ADDITIONAL COSTS FOR ADDITIONAL WORK? / VZNIKLY VICENAKLADY ZA VICEPRACE

  • LIST OF ADDITIONAL COSTS / SEZNAM VICENAKLADŮ

  • AMOUNT OF THE CHARGE / VYSE VICENAKLADU

REPAIR / OPRAVA

REPAIR (RESPONSIBLE PERSON FOR REPAIR FILL THIS CATEGORY) / OPRAVA (VYPLNÍ TEN KDO ZODPOVÍDÁ ZA OPRAVU)

  • WAS THE DEFECT REPAIRED INTERNALLY ? / BYLA OPRAVA PROVEDENA INTERNE?

  • WHO IS RESPONSIBLE FOR REPAIRING ? / KDO JE ZODPOVĚDNÝ ZA OPRAVU?

  • PHOTO BEFORE REPAIR / FOTO PRED OPRAVOU

  • PHOTO AFTER REPAIR / FOTO PO OPRAVĚ

  • TIME FOR REPAIR (MINUTES) / CAS NA OPRAVU (V MINUTACH)

  • USED REPLACEMENT MATERIALS / MATERIALY POUZITE K OPRAVE

  • FINAL COSTS FOR REPAIR (MATERIALS + WORK) / CELKOVE NAKLADY NA OPRAVU (MATERIALY + PRACE)

SUMMARY

  • WAS THERE FOUND ANY PROBLEM DURING CHECK / BYL OBJEVEN PROBLEM BEHEM KONTROLY ?

  • AMOUNT OF ALL ADDITIONAL COSTS / CELKOVA VYSE VSECH VICENAKLADU

  • DO WE INVOICED ADDITIONAL COSTS? / BYLY VICENAKLADY FAKTUROVANY?

  • AMOUNT OF CHARGE / V JAKE VYSI?

  • AMOUNT OF CHARGE / V JAKE VYSI?

  • INVOICE NUMBER / CISLO FAKTURY

  • FINAL NOTE / FINALNI POZNAMKA

  • PROBLEM CLOSED ON / PROBLEM UZAVREN DNE

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