Title Page

  • Client Name

  • Client Address
  • Client Contact #

  • Conducted on

  • Prepared by (Technician)

Field Service Report

  • Work to be performed

  • Please specify work to be performed

  • Description of work

  • Take a photo of the problems identified

  • Actions performed

  • Have you completed work?

Follow Up Action Items

  • Click + to add Action items

  • Room/Area/Zone
  • Description of issue and open item

  • Recommended action

  • Target date

Defective / Damaged Device Summary Report

  • Click + to add devices replaced

  • Device
  • Qty

  • Part #/Date code

  • Covered under warranty?

  • Description of Symptom/Failure/Cause

  • Click + to add devices needs to be ordered

  • Device
  • Qty

  • Part #/Date code

  • Covered under warranty?

  • Description of Symptom/Failure/Cause

Completion

  • I confirm that the performed work, issues encountered, corrective actions, and follow up action items as stated in this report are accurate.

    If the required work is completed and that all issues were resolved; I confirm that system functionality, and any applicable system integration meets the design specifications.

    If follow up action items are required; I confirm that I will perform all of the necessary steps to complete all of the follow-up action items that are of my responsibility as stated in this report.

  • Technician/Service Practicioner Full Name and Signature

  • Client / Owner Name and Signature

  • Supervisor Name and 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.