Title Page

  • Client / Site

  • Conducted by

  • On behalf of

  • Conducted on

  • Location

Fault Report

  • Fault Report Date

  • Fault Reported By

  • Issues Reported

Engineering

  • Technicians On Site

  • Fault Worked On

  • Equipment
  • Fault Description

  • Location

  • Photo of Faulty Equipment

  • Manufacturer

  • Model and Serial Visible

  • Model Number

  • Serial Number

  • Equipment Removed ?

  • Reason For Removing Item

  • Pictures of the equipment

  • Barcode Scan

  • RMA Number ( If Applicable )

Engineer Summary

  • Work Performed

  • Materials Used

  • Additional Information

Administration

  • Visit Type

  • Travel Time

  • Engineering Time

  • Programming Time

  • Parking Costs

Customer Details

  • Customer Name

  • Email Address

  • Telephone Number

  • 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.