Title Page
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Report Conducted on
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Report Conducted by
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Machine Model
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Machine Serial Number
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Location of Machine
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Issue Type
- Action Needed (Customer/Client requires replacement part)
- Customer Complaint
- Information (to inform the factory of a possible/potential fault)
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Defect Group Category
- Heating Coil
- Defective Part - Electrical
- Defective Part - Mechanical
- Delivery
- Electrical Issue
- Factory
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Defect Type
- Alignment
- Assembly
- Cracked
- Damaged
- Failure
- Faulty
- Hazard
- Leaking
- Loose
- Missing Part
- Oversize
- Setting
- Wiring
- Wrong Part
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Sale Date (If Known)
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Fail Date
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Description of the fault
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In your opinion why do you think the part/s failed?
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Faulty Part Number/s
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Picture of Faulty Part/s
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Approximate daily usage of the unit
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Of that how many hours are continuous?
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And how many are intermittent?
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What is the environment the machine is housed in? (outdoors, enclosed, dusty area etc)
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Industry
- Accommodation & Food Services
- Administrative & Support Services
- Agriculture, Forestry, Fishing & Mining
- Arts & Recreation Services
- Construction
- Education & Training
- Electricity, Gas, Water & Waste Services
- Finance & Insurance Services
- Health Care & Social Assistance
- Inadequately described or not stated
- Information Media & Telecommunications
- Manufacturing
- Other Services
- Professional, Scientific& Technical Services
- Public Administration & Safety
- Rental, Hiring & Real Estate Services
- Retail Trade
- Transport, Postal & Warehousing
- Wholesale Trade
