Painters USA, Inc. - Push Back Form

• Job # / Job Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Document No.

General Information

• Job Name / Job #:

• Select date

  Date

Type of push back

• Incorrect quantity count

• Incorrect measurements

• Logistics

• Equipment needs

• Customer expectations

• Unforeseen conditions

• Scope / Communication

• Other

Push back to:

• Select Vendor Sales Rep Warehouse Operations Foreman Other

  • Vendor
  • Sales Rep
  • Warehouse
  • Operations
  • Foreman
  • Other

Push Back Details

• Description of push back. Be detailed!

• Pictures

  Media

• Chargeable to customer. AWO to follow

What do you need? Hours, materials, equipment. Be detailed!

• Once you have completed form send to Operations & Sales Rep.

• Add signature

  Sign