Equipment Serial Number :-
What is wrong with the Equipment ?
Declared defective by : Name and PIN :-
Did the equipment fail whilst in USE ?
Please confirm the Incident report (IR1) number
Has the equipment been cleaned and removed from service - With YELLOW Tag attached
Defective Equipment reported to :-
Please explain why not ?
PLEASE GO THE END OF THE FORM AND PRESS "AUDIT COMPLETE" The next section is for the Supervisory team. Thank you.
Equipment Sent for repair ?
Address and Name of Person dealing at the Company where the equipment has been sent ?
Confirmation that the equipment has been received by the Company / Person specified above.
IF the equipment was declared as being "Beyond Economical Repair" has it been disposed of?
Please explain how the equipment was disposed of:-
RETURN TO SERVICE
Equipment returned to service ?
EQUIPMENT ASSET REGISTER UPDATED ?