NASATKA SERVICE TICKET R3+

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Customer Information

• Service Ticket 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

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

LABOR 1

• SERVICE TECH NAME ON-SITE

• LABOR 1 - ENTER TIME "IN"

  Date

• LABOR 1 - ENTER TIME "OUT"

  Date

• WAS SERVICE COMPLETED?

  Yes

  No

  N/A

• IS SERVICE TICKET OPEN?

  Yes

  No

  N/A

LABOR 2

• SERVICE TECH NAME ON-SITE

• LABOR 2 - ENTER TIME "IN"

  Date

• LABOR 2 - ENTER TIME "OUT"

  Date

• IS SERVICE TICKET OPEN?

  Yes

  No

  N/A

• WAS SERVICE COMPLETED?

  Yes

  No

  N/A

LABOR 3

• SERVICE TECH NAME ON-SITE

• LABOR 3 - ENTER TIME "IN"

  Date

• LABOR 3 - 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

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Vehicle Number Parts Used Off Of

• Vehicle Number

  NBI-4

  NBI-12

  NBI-11

  NBI-14

EQUIPMENT

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

SERVICES / REPAIRS

• DESCRIBE ALL SERVICES / REPAIRS THAT WERE PERFORMED

• DESCRIBE ALL SERVICES / REPAIRS THAT WERE PERFORMED

• DESCRIBE ALL SERVICES / REPAIRS THAT WERE PERFORMED

• DESCRIBE ALL SERVICES / REPAIRS THAT WERE PERFORMED

CUSTOMER SERVICE ACCEPTANCE

• CUSTOMER NAME (PLEASE PRINT)

  Sign

• CUSTOMER SIGNATURE

  Sign

• NASATKA REP NAME (PLEASE PRINT)

  Sign

• NASATKA REP SIGNATURE

  Sign