Title Page

  • Name of Customer

  • Location

  • Date of Visit

  • Check- In Time

  • Check-Out Time

  • Prepared by

Work Description

  • Customer Complaint

  • Equipment Brand

  • Equipment Model

  • Equipment Serial No.

Repairs Required / Done

  • Work Performed

  • Warranty

  • Parts Required 1

  • Parts Required 2

  • Parts Required 3

Media

  • Equipment Name Plate

  • Picture of Equipment

Remarks

  • Input Remarks

  • Customer Feedback

Signature

  • Customer Signature

  • Technician Signature

  • Service In- charge 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.