Information
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Site Conducted:
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Job No:
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Client / Site:
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Asset No:
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Work Order / Purchase Order #:
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Conducted on:
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Conducted by:
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Location:
Details
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Description of works completed
Parts Used
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Stock Location:
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Part Used (Quantities and Description):
Technician
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Name:
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Waiting time:
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Repair time:
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Service time:
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Hours spent on job:
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Total Man Hours on Job:
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Status of all fire equipment tested:
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Is corrective action required?:
- No
- Yes - Corrective Action Required
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Details of Corrective Action required:
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Is Quote Required?
- Quote Required
- Instructed to rectify (no quote necessary)
- Contact Customer
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Relevant photos of defects:
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Most urgent defect(s) to be rectified:
- Next Service
- Next convenient opportunity
- As soon as possible
- Immediately / Before returning to service
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Equipment to be tagged out of service.
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Out of service tag placed on suppression system
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Photo of tag:
Additional information / defects
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Details:
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Photos:
Customer/Technician Sign off
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Do the works described in this report have to do with/affect a fire suppression system?
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Photo of reconnected discharge hoses and pressure switches:
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Panel in working order and showing normal condition:
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Photo of actuators back into working condition and gauge in the green/cartridges reinstalled:
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Technician Signature:
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Customer representative confirms that they accept the above information.
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Customer Representative signature:
Report Distribution
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Send report to: