Title Page

  • Work Order #

  • Audit Title (5 Digit / Customer Name)

  • Branch Code

  • User Company

  • Site

  • Conducted on

  • Location
  • Servicing Technician

  • Time In

  • Before Photo

  • Device Type

  • Board Serial #

  • Board Serial #

  • Enclosure Serial #

  • Enclosure Serial #

  • Is the device equipped with lockers?

  • Locker Serial #'s

  • Locker
  • Locker Type

  • Locker Serial #'s

  • Locker Serial #

  • Install Date

  • Condition of Machine

  • Service Type

  • Date Requested

  • Problem Description

  • Summary of work completed.

  • Visually inspect machine for damage.

  • Image of Damage

  • Damage Description

  • Clean Machine Exterior • Wipe down the top, front, back, and sides of the machine • Clean the front glass of the machine • Open the door and clean around the tops and sides • Clean around the delivery bay bezel door • Clean inside the rear connection box and rear cover plate • Clean the machine legs

  • Clean Machine Interior • Top of trays wiped down and cleaned of debris, even between crevices • Inside bottom of machine cleaned and wiped down • Wipe down interior top, walls, right tray mount column, power box and board cover • Inside of door to be cleaned and wiped down • Clean inside glass and the surrounding black deflectors • Clean out any debris in the Return Bin

  • Inspect Labels • Make sure all labels are legible and display accurate part and position numbers • Reprint any labels that are worn, damaged or incorrect

  • Machine Testing • Verify condition of all helixes and motors • Conduct motor count and verify correct number of motors were recognized • Test vend each motor twice to ensure proper 360 degree rotation • Adjust helix timing as needed • Ensure all product has proper accessories and spacing • Verify red light of the drop sensor functions properly • Confirm machine is level

  • Component Inspection • Check all physical components and note anything missing, damaged, or if it is satisfactory • Record any needed parts so they can be ordered • Replace any necessary parts

  • After Photo

  • Parts Replaced?

  • Add Parts

  • Parts
  • Part Number

  • Quantity

  • Additional Notes

  • Marked for review. (email to group and directly to lead)

  • Time Out

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.