Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Customer Information
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Customer Name
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Site Location
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Department
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Enter time of departure from home / hotel
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Enter time of arrival to site
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Enter time of departure from site
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Enter time of arrival home / hotel
Equipment Information
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Machine Model Number
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Machine Serial Number
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Machine Asset Number
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Photo of outside of machine
Visit Detail
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Reason for visit
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Commercial detail
Reported Fault
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Machine working but with fault
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Machine not working at all
Troubleshooting
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Are all services to the machine live and being provided as required
Proposed solution to return the machine to fully operational condition
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Can the machine be fixed during this visit?
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Will a return visit be required?
Parts
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We're any parts used during the visit? If so please list them with part numbers, descriptions and quantities
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Are any parts required following your visit? Please detail providing part numbers, descriptions, photos if applicable and quantities
Visit Summary
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Summary and any recommendations
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Any photos to support findings or recommendations
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Any drawings or sketches to support findings or recommendations
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Is a return visit required?
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Is a quotation required for additional items/work?
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Travel time from site?
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Did you have to pay to park? If so detail the cost below.
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Sychem Engineer
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Customer Authorised Person
Office Use Only
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Parts Total
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Total Travel Time (Hours)
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Total Labour (Hours)
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Call Out Fee
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First Hour Charge
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Subsequent Hour Charge
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Over Night Expenses
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Misc