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Field Service Report Template

This field service report template is used to record all services performed by technicians during customer visits. This template can be used by field-staff to report any equipment defects, actions required and expenses involved. The template was converted using Lumiform and can serve as a guide for inspectors to perform the following:     Determine the kind of service to be performed: repair, maintenance, installation or other work. Describe the problem and take photo evidence of defects or damages.    Document actions taken and confirm if work was completed. If not, put follow up action items. Create a summary of the damaged or defective devices. Participants, which are the client, technician and field service engineer, should provide digital signatures to validate the report.

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Field Service Report Template

Field Service Report

Work to be performed

Please specify work to be performed

Description of work

Take a photo of the problems identified

Actions performed

Have you completed work?

Follow Up Action Items

Click + to add Action items

Description of issue and open item

Recommended action

Target date

Defective / Damaged Device Summary Report

Click + to add devices replaced

Qty

Part #/Date code

Covered under warranty?

Description of Symptom/Failure/Cause

Click + to add devices needs to be ordered

Qty

Part #/Date code

Covered under warranty?

Description of Symptom/Failure/Cause

Completion

I confirm that the performed work, issues encountered, corrective actions, and follow up action items as stated in this report are accurate.If the required work is completed and that all issues were resolved; I confirm that system functionality, and any applicable system integration meets the design specifications. If follow up action items are required; I confirm that I will perform all of the necessary steps to complete all of the follow-up action items that are of my responsibility as stated in this report.

Technician/Service Practicioner Full Name and Signature

End User / Owner Name and Signature

Field Service Engineer Name and Signature

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