Title Page
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Project Name
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Client / Site
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Prepared by
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Conducted On
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Location
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Personel On Site
- Adam M
- Raj D
Fault Report
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Fault Report Date
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Fault Reported By
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Issues Reported
Engineering
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Technicians On Site
- Adam M
- Raj D
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Fault Worked On
Equipment
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Fault Description
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Location
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Photo of Faulty Equipment
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Manufacturer
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Model and Serial Visible
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Model Number
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Serial Number
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Equipment Removed ?
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Reason For Removing Item
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Pictures of the equipment
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Barcode Scan
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RMA Number ( If Applicable )
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Work Performed
Administration
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Visit Type
- Service Call - Chargeable
- Service Call - Non Chargeable
- Service Call - Warranty
- Service Call - Call Out
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Travel Time
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Engineering Time
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Materials Used
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Additional Information
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Email Address
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Signature