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  • This form needs to be completed for EACH piece of faulty equipment.

    i.e if a ONT, EEro 6 Pro and Eero 6 are faulty, that requires 3 forms to be completed.

  • Conducted on

  • Prepared by

  • Serial number of the faulty equipment

  • Please capture clear images of the unit in full - I.e 360 Degree view of the unit.

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  • What piece of equipment is faulty?

  • What is the problem with it?

  • Which port is faulty?

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Please add notes to how this occurred.

  • Please explain

  • Are you sure? The ONT you selected does not have a Phone/POTS port...

  • What is the problem with it?

  • Looking at the unit with the ports in front of you, which port is faulty?

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Please add notes to how this occurred.

  • Please explain

  • What is the problem with it?

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Looking at the unit with the ports facing you:

    EXAMPLE:

    Eero rear view.jpeg.jpg
  • Looking at the ports facing you, which port is faulty?

  • Please add notes to how this occurred.

  • Please explain

  • What is the problem with it?

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Looking at the unit with the ports facing you:

    EXAMPLE:

    Eero rear view.jpeg.jpg
  • Looking at the ports facing you, which port is faulty?

  • Please add notes to how this occurred.

  • Please explain

  • What is the problem with it?

  • Looking at the unit with the ports facing you:

    EXAMPLE:

    ARRIS rear view.jpeg.jpg
  • what port is faulty?

  • Please attach your EX1 report to validate the issue, along with a brief description of what has been happening.

  • Please add notes to how this occurred.

  • Please explain

  • Is it missing any consumables? i.e PSU, ethernet, fixture & fittings

  • Is the PSU (Power supply unit) present and working?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.