VISIT/PROBLEMS REPORT
CUSTOMER’S NAME………………………………………………………………………………………………………………………………..
ADDRESS………………………………………………………………………………………….………..TEL……………………….……………….
MACHINE TYPE…………………………………………………………..………S/N…………………..…………………………………………..
DATE OF RECEIVING FIRST CALL……………………………...….DATE OF RESPONSE………………….…..…………………….
CALL MADE BY……………………………………………………….RECEIVED BY……………………..……………………………………..
PROBLEM TYPE: PM REPAIRS INSTALLATION PENDING ISSUES OTHERS
PROBLEM ON VISIT
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WORK DONE
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PROBABLE CAUSE OF PROBLEM:
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CURRENT MACHINE STATUS: 1. RESOLVED 2. NOT RESOLVED 3. REQUIRE SPAREPART 4. OTHERS
MACHINE TESTED YES NO
SPAREPART USED
SPAREPART REQUIRED
CUSTOMER’S COMMENT
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NAME:………………..……………………SIGNATURE………………………………………………DATE……………………………………