Title Page

  • Site Name

  • Location
  • Conducted On

  • Serviced By

  • Site Contact

  • Please ensure a case for this issue is opened before proceeding. There should a case for every system you are there to service.

  • Sales Force Case Numbers

Service

    Location - Per Unit
  • Unit Location (i.e. Ward 1)

  • Photo(s) Of Unit (Pre-Service)

  • Unit Type (i.e. F-Series SPS / Medlogic)

  • No Of Frames

  • Issue(s) - Please report if multiple issues are found

  • Root Cause(s) Of The Issue (If Known)

  • Action(s) Taken / Required

  • Photo(s) Of Unit (Post-Service)

  • Parts Used & Quantities (Inc. Part Numbers If Possible)

  • System Age

  • Have You Advised The Customer Of The Service Resolution Or Next Actions Required

  • Any additional Information

  • Customer Name

  • Thank you for your support. A copy of this report will be emailed to the contact email addresses in the fields above following an internal review. Please raise any additional faults with the TouchPoint Medical customer service team.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.