Title Page

  • Client / Site

  • Location
  • Conducted on

  • Conducted by

  • ABB Inc.
    Power Products Division
    100 Distribution Circle
    Mount Pleasant, PA 15666

Initial Information

Customer Contact

  • 2. Customer Contact Name

  • Customer Contact Phone Number

  • Customer Contact Email Address

Equipment Information

  • GIS Type

  • Shop Order #

Background

Condition Assessment

  • Instructions: Please Create a new note of condition for each issue the customer should be aware of. Issues are automatically numbered, starting at 1, so they can easily be referred back to at another time. Include pictures whenever possible.

  • Notes of Condition

  • Issue
  • Issue Category

  • What is the Priority level of this issue

  • Issue Summary

  • Recommendation

  • Are Spare Parts required to resolve this issue?

  • Please List the spare parts that will be necessary

  • Spare Part
  • Pictures of the issue

Conclusion

  • Concluding notes from FSE

  • FSE 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.