NASATKA SERVICE TICKET

• Site conducted

  Select

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Customer Information

• Service Ticket Number or Case Number

  Yes

  No

  N/A

• Enter Customer of Asset:

  Yes

  No

  N/A

• Customer Contact info: (Contact Name and Contact Phone#)

  Yes

  No

  N/A

Asset Details

• Enter Asset :

  Yes

  No

  N/A

• Enter Model Name:

  Yes

  No

  N/A

• Enter Manufacturer:

  Yes

  No

  N/A

• Enter Serial#

  Yes

  No

  N/A

• Is Cycle Counter Value available?

  Yes

  No

  N/A

Service Required

• Type of Service is being Requested:

  Select Maintenance Service E-Service Warranty Preventive Maintance Site Survey Inspection Other

  • Maintenance
  • Service
  • E-Service
  • Warranty
  • Preventive Maintance
  • Site Survey
  • Inspection
  • Other

• Service Tech COMMENTS

• Are there any Visual Damages to Barrier? Make a note and take Picture!

  Yes

  No

  N/A
LABOR

• SERVICE TECH NAME ON-SITE

• LABOR - ENTER TIME "IN"

  Date

• LABOR - ENTER TIME "OUT"

  Date

• WAS SERVICE COMPLETED?

  Yes

  No

  N/A

• IS SERVICE TICKET OPEN?

  Yes

  No

  N/A
PARTS (TAKE PICTURES OF ALL DAMAGE PARTS THAT ARE BEING REPLACED)

• Where there any parts used? Enter Part Number / Description / QTY (TAKE PICTURE OF DAMAGE PART)

  Yes

  No

  N/A
EQUIPMENT

• WAS THERE ANY EQUIPMENT RENTAL REQUIRED/USED? (if YES, Enter description/QTY)

  Yes

  No

  N/A
SERVICES / REPAIRS

• DESCRIBE ALL SERVICES / REPAIRS THAT WERE PERFORMED

General Comments/Recommendations

• Comments/Recommendations:

CUSTOMER SERVICE ACCEPTANCE

• CUSTOMER NAME (PLEASE PRINT)

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• CUSTOMER SIGNATURE

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• NASATKA REP NAME (PLEASE PRINT)

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• NASATKA REP SIGNATURE

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