Title Page

  • Site conducted

  • Document No.

  • Use customer. Mr X. X.

  • Town

  • Conducted on

  • Prepared by

  • Location
  • Your name

  • Attended date

Vehicle details

  • Machine Type

  • Serial No:

  • Machine Hours

Customer details

  • Customer/Site address
  • Customer telephone number

  • Customer email

  • Requested by

Reported faults

  • Enter reported fault

Electronic diagnostic

  • Electronic diagnostic performed

  • Reported fault codes

Remedial work

  • Remedial work required

  • Remedial work requested by customer

  • Remedial work carried out

  • Follow up required

  • Follow up details

  • Follow up chargeable

  • Added to schedule

Charges

  • Are works chargeable?

  • Parts cost

  • Labour cost

  • Chargeable hours

  • Total cost

Payment method

  • Payment method

  • Engineers signature

  • Customer signature

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.