Title Page
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Conducted on
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Prepared by
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Location
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Which type of Service Quality Event Report are you submitting?
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Enter a summary of operations at the time of the SQ event.
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District
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Asset Number
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Enter a description of the SQ problem.
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Select the severity of the SQ event.
- Positive
- Near Miss
- Minor
- Serious
- Major
- Catastrophic
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Failure Type
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Failure Point
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Enter Immediate Actions being taken.
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Enter and assign follow-up Action Items.
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Add all available supporting media, i.e., photos, etc.
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Enter a summary of operations at the time of the SQ event.
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District
-
Asset Number
-
Enter a description of the SQ problem.
-
Select the severity of the SQ event.
- Positive
- Near Miss
- Minor
- Serious
- Major
- Catastrophic
-
Failure Type
-
Failure Point
-
Enter Immediate Actions being taken.
-
Enter and assign follow-up Action Items.
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Add all available supporting media, i.e., photos, etc.
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7
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8
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9
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11
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22
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33
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Additional Comments
