Jock Fiddes

SEG30 Feedback Form - V2

Feedback form to complete after completing a SEG30 for another engineer

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Information

Original Job Number
SEG30 Completed on
Original Engineers Tech Code
Customer Name
Location

SEG Information

Reason for SEG30 being raised?
Original Job Type
What required attention?
- Dish
- Shotgun Cable
- Box
- Other
What item required attention?
What was serviced on the original visit?
- Dish
- Twin Shotgun Cable
- Box
What was installed on original visit?
- Dish
- Twin Shotgun Cable
- Box
What required attention?
- Dish
- Shotgun Cable
- Box
- Other
What item required attention?
What was installed on original visit?
- Dish
- Twin Shotgun Cable
- Box
What item/s required attention?
What item required attention?

Work carried out

Details of work carried out

Media

Photo of original dish
Photo of cable entry point
Photo of any other relevant evidence.

Signature

Engineer Signature

Jock Fiddes

SEG30 Feedback Form - V2

Feedback form to complete after completing a SEG30 for another engineer

Use this Template

Print as PDF

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