Information
-
Nasatka Case Number
-
Service Ticket Number
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Site Location
-
Personnel
Customer Information
-
Enter Customer of Asset:
-
Customer Contact info: (Contact Name and Contact Phone#)
Asset Details
-
Enter Asset Location Name:
-
Enter Model Name:
-
Enter Manufacturer:
-
Enter Serial#
-
Is Cycle Counter Value available?
Service Required
-
Type of Service is being Requested:
- Maintenance
- Emergency Service
- Warranty
- Preventive Maintenance
- Quarterly Maintenance
- Inspection
- Site Survey
- Equipment Assessment
- Service
- Phone Tech Support
- Training
- Equipment Drop Off
- Other
- Mobile Setup
-
Brief description of Service Request:
-
Reported Fault:
-
System State Prior to Service
-
Comments:
-
Prior to start of ANY Service is there any Visual Damages to AVB? Make a note and take Picture(s)!
- Yes
- No
- N/A
- Service Completed
- Service Open
-
Travel Time to Site
-
Travel Time Return
-
Comments / General Notes:
LABOR
-
SERVICE TECH NAME
-
Time In
-
Time Out
PARTS (TAKE PICTURES OF ALL DAMAGE PARTS THAT ARE BEING REPLACED)
-
Where there any parts used?
-
Enter Part Number:
-
Enter Manufacture:
-
Enter Serial number if available
EQUIPMENT RENTAL
-
WAS THERE ANY EQUIPMENT RENTAL REQUIRED/USED?
-
Rental Equipment Description:
SERVICES / REPAIRS
-
DESCRIBE ALL SERVICES / REPAIRS THAT WERE PERFORMED
-
Technician Service/Comments/Recommendations
-
Pictures of Work Performed
-
Was Service Complete
- Yes
- No
- N/A
- Service Completed
- Service Open
-
Items/Work to be Completed
-
Schedule Return Date
-
Total Travel Time
CUSTOMER SERVICE ACCEPTANCE
-
END-USER/CUSTOMER SIGNATURE
-
NASATKA REP SIGNATURE
