Title Page

  • Field Equipment Maintenance Request

  • Conducted on

  • Requester Name

  • Rig number equipment is located on

  • Use this form to report damage or needed repairs to any on location rig equipment that does not go to the shop for inspection and repair, You may also click on the paper clip then image and take pictures of tag number needed repair etc. Any picture will assist the repair team in having the right parts upon arrival to complete repairs. If you create and action and select Alan Rickers it will send him an e mail.

  • What piece of equipment needs repair, mud pump trailer, pipe trailer etc. enter trailer, unit or tag number

  • What needs to be repair. Break lights, tires etc..

  • Comments

  • If repair was completed at time of inspection select repair complete

  • If repair was not completed at time of inspection select needs repair

  • What needs to be repair. Break lights, tires etc..

  • Comments

  • If repair was completed at time of inspection select repair complete

  • If repair was not completed at time of inspection select needs repair

  • What needs to be repair. Break lights, tires etc..

  • Comments

  • If repair was completed at time of inspection select repair complete

  • If repair was not completed at time of inspection select needs repair

  • Although you have completed this form for documentation and follow up it is also required that you notify ( Call ) Alan Rickers<br><br>Have you notified ALAN

  • Any Additional Comments

  • Enter name of requesting supervisor

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.