Information

  • Project Number (You can get this from the Project Dashboard - It's the same as when it was installed)

  • Branch 5-Digit Code (This is the branch you are removing the device for)

  • Customer/Site

  • Location
  • Conducted on

  • Prepared by

Machine Removal

    Machine (One fro each piece of equipment - Fast5000, AirCard, Ethernet Cord, etc)
  • What Type of Machine

  • Serial Number of Device (First 7 digits)

  • Take picture of the device

  • On a scale of 0 - 100... 0 is a beat up machine, 50 would be a normal machine with a little wear and tear, 100 would be a brand new out of the box machine. How would you rate this machine being removed?

  • Where is this device located/being stored before being shipped to the build center? (5-Digit, HTRM, Other)

  • Comments/Notes/Issues or missing equipment

Issues & Build Center

  • Enter Comments and Issues here

  • Removal is complete?

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.