Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Information

  • Date Escalation Received

  • Escalation ID (if available)

  • Market Involved in Escalation

  • Point of Contact for Escalation

  • Customer Information

  • Account Number

  • Account Holder

  • Address

  • Phone Number

  • Customer Since

  • Monthly Recurring Bill

  • Services Used

  • What caused the current escalation

  • What is the customer requesting

  • When was escalation resolved or expected to be resolved (Date/Time)

  • Who validated escalation is completed? List all parties involved

  • What was done exactly to resolve escalation?

  • What is the follow up with the customer to ensure expectations were met?

  • Were any credits issued or due and when are they to be applied? List who applied and when as well as attach screenshot of completed credit as approved by POC.

  • Contractor(s) involved in escalation

  • List history of any interactions at this location for the past 6 months (based on length of escalation issues listed)

  • What other departments were involved in this escalation

  • Root Cause Analysis

  • Issues that caused the escalation (Human Error, Training, Billing, Lack of Follow up, Equipment Issues, etc...)

  • Change implemented to prevent repeat event

  • Other comments

  • Contractor Management

  • Lit Management

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.