L03 revisit form

• Job no

• Engineer name and date of original job this revisit is against?

• Conducted on

  Date

• Please take photo's of the issue prior to completing any work at the property and add at bottom of the form.

Visit Type?

• Is this revisit related to a Q or CLASSIC visit?

  Q

  CLASSIC

Reason for the visit?

• Did a service visit need to be raised or could it have been rectified by the call centre? If NO add notes as to why?

  Yes

  No

What equipment have you replaced?

• What equipment have you used/replaced? If other please comment below

  Select Dish and LNB LNB Cable Classic STB F-Connectors Q or Q Silver STB Booster Router Other, please specify below

  • Dish and LNB
  • LNB
  • Cable
  • Classic STB
  • F-Connectors
  • Q or Q Silver STB
  • Booster
  • Router
  • Other, please specify below

If yes to STB, please comment why and was a STB replaced on the previous visit?

Did dish need to be replaced or relocated? If yes please give reasons why

Is there any additional information you wish to add about the previous visit?

• Please add pictures of visit and work completed.

  Media

• Engineer Sign

  Sign