TMS Breakdown Report KNDS

• Site conducted

  Select

• JOB NUMBER

• Audit Title

• CUSTOMER COMPANY NAME

• Conducted on

  Date

• Prepared by

• MACHINE MAKE

• MACHINE MODEL

• Machine Control Type

• MACHINE SERIAL NUMBER

• CUSTOMER MACHINE REFERENCE NUMBER

REPORTED FAULT

• Have you recieved The Permit ? NO WORK TO BE CARRIED OUT UNTIL PERMIT IS IN YOUR HAND.

  Yes

  No

  N/A

• Has the customer Put the permit yellow Copy in a folder Visible on the machine ?

  Yes

  No

  N/A

• REPORTED FAULT DESCRIPTION

REMEDY

• REMEDY DETAILS

• PARTS REQUIRED ?

  Yes

  No

  N/A

• PHOTOS OF PARTS NEEDED

  Media

ANY FURTHER / ACTION REQUIRED ?

• Do we need to Follow this job up

  Yes

  No

  N/A

• Have you left the Workplace tidy ?

  Yes

  No

  N/A

• Have you used any parts ?

  Select Customer Supplied TMS supplied From own Stock NO

  • Customer Supplied
  • TMS supplied
  • From own Stock
  • NO

• DETAILS

• Photos Of parts needed

  Media

• Have you handed the Permit back ?

  Yes

  No

  N/A

• Have you told Carl Smith Why ?

  Yes

  No

  N/A

• If machine is Still down before leaving is the Yellow copy of the Permit Visible to inform KNDS machine is still down ?

  Yes

  No

  N/A

• DATE

  Date

• TIME FROM

• TIME TO

• TOTAL HOURS

• TRAVEL

• MILEAGE

• TMS ENGINEERS SIGNATURE

  Sign

• CARL SMITHS SIGNATURE or a Designated Deputy which will be on the permit

  Sign

• ADDITIONAL DAYS

ADDITIONAL DAYS

• Extra Day Required ?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• DATE

  Date

• TIME FROM

• TIME TO

• TOTAL HOURS

• TRAVEL

• MILEAGE

• ENGINEERS SIGNATURE

  Sign

• CUSTOMERS SIGNATURE

  Sign