Title Page
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Service Request Number
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Quotation Provided for Works
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System Working on Arrival
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Prepared by ACOST Representative
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Time On Site
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Time Off Site
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Client Name
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Client Address
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Client Contact
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Location of Works (Building, Room, Area, Zone, etc.)
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Location of System (Building, Room, Area, Zone, etc.)
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Reason for Attendance
- ALARM SYSTEM
- CCTV SYSTEM
- FIRE SYSTEM
- TELCO
- Installation
- Service Call
- Scheduled Maintenance
- Commissioning
- De-commissioning
- Cutover New Service
- After Hours Call Out
- Requested by Client
- Repair Previous Work
- Warranty
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Reason for Attendance (detail)
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Work Performed
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Recommendations
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Variations to Original Schedule/Quotation
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Details of Variation
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Parts Used
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Quantity Used
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11+
- Multiple
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Item Description (inc. Part Number & Price)
Acknowledgement of Completion
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CLIENT - Works were performed and are accepted to our satisfaction
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CLIENT - Comments (if any)
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Payment Method
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Total Amount
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CLIENT - Signature
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TECHNICIAN - Works were performed as instructed and per company standards
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System working on Departure
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Technician to Return to Site
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Technician Comments (if any)
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Work Area in a clean and tidy condition
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Power Supply returned to original condition
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ACOST or Security Warning Signage displayed
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ACOST Control Room notified of on and off site times
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Reason for not notifying Control Room
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Technician Signature
