Anonymous

N0402 Revisit Fom

Revisit form to support engineer performance.

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Conducted on
Prepared by

Date of revisit
Date of install/service call
Your Name
- Ashley Marsden
- David Pennington
- Glenn Sutton
- Barry Dodgson
- Kevin Reeves
- Darren Hodgson
- David Heard
- David Piercy
- Scott Fenwick
- Gavin Love
- Steven Matthews
- Leigh Evans
Revisited Engineer
- Ashley Marsden
- David Pennington
- Glenn Sutton
- Barry Dodgson
- Kevin Reeves
- Darren Hodgson
- David Heard
- David Piercy
- Scott Fenwick
- Gavin Love
- Steven Matthews
- Leigh Evans
Software Version Correct?
Compliant HDMI Cable?
Mesh/Chrome App Run?
Sat Signal Levels Acceptable/ Data Logger Passed?
Reason Service Call Booked (iPad)
Reason Service Call Booked (Customer/You)
Action Taken To Resolve
- Replace STB
- Replace LNB
- Replace Cable
- Replace Dish
- Install Booster
- Install Ethernet
- Remove Booster
- Move Equipment
- Realign Dish
- Re-site Dish
- Customer Education
- 3rd Party Interference
- Known Software Issue
- Replace F conns
Could Revisit Be Avoided?
Photos To Support Visit
Engineer Signature

Anonymous

N0402 Revisit Fom

Revisit form to support engineer performance.

Use this Template

Print as PDF

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.