Fault Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Serial Number

  Yes

  No

  N/A

• G - Number

  Yes

  No

  N/A

• Photo Of Equipment

  Media

Mechanical Failure

• Fault Description?

• Actions Taken

• What components have failed?

  Yes

  No

  N/A

• Machine settings?

  Yes

  No

  N/A

Application Description

• Environment

  Dusty

  Dirty

  Clean

  Wet

  Dry

• Label Position

  Front

  Back

  Top

  Bottom

  Other

• Label Height

• Label Length mm

• Vibration<br>

  Yes

  No

  N/A

• Temperature

  Yes

  No

  N/A

• Humidity

  Yes

  No

  N/A

Additional Comments

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