Sychem Call Out Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Customer Information

• Customer Name

• Site Location

• Department

• Enter time of arrival to site

  Date

• Total travel time to site?

Equipment Information

• Machine Make

• Machine Model Number

• Machine Serial Number

• Machine Asset Number

• Photo of outside of machine

  Media

Visit Detail

• Reason for visit

  Warranty

  Call out

  Routine Maintenance

• Commercial detail

  Chargeable visit

  non chargeable visit

Reported Fault

• Machine working but with fault

  Yes

  No

  N/A

• Machine not working at all

  Yes

  No

  N/A

Troubleshooting

• Are all services to the machine live and being provided as required

  Yes

  No

  N/A

• Detail the troubleshooting conducted to resolve the fault

Proposed solution to return the machine to fully operational condition

• Can the machine be fixed during this visit?

  Yes

  No

  N/A

• If not advise what will need to be done during the next visit to remedy the fault.

  Yes

  No

  N/A

• Detail your proposed solution to fix the machine?

Parts

• We're any parts used during the visit? If so please list them with part numbers, descriptions and quantities

  Yes

  No

  N/A

• Are any parts required following your visit? Please detail providing part numbers, descriptions, photos if applicable and quantities

  Yes

  No

  N/A

Visit Summary

• Summary and any recommendations

• Any photos to support findings or recommendations

  Media

• Any drawings or sketches to support findings or recommendations

  Drawing

• Is a return visit required?

  Yes

  No

  N/A

• Is a quotation required for additional items/work?

  Yes

  No

  N/A

• Enter time of departure from site

  Date

• Did you have to pay to park? If so detail the cost below.

  Yes

  No

  N/A

• Detail any applicable travel time from site.

• Sychem Engineer

  Sign

• Customer Authorised Person

  Sign

Office Use Only

• Parts Total

• Total Travel Time (Hours)

• Total Labour (Hours)

• Call Out Fee

• First Hour Charge

• Subsequent Hour Charge

• Over Night Expenses

• Misc