Maintenance slip

Daily Maintenance Assignment Sheet

This form is for reporting equipment issues
assetID
assetLocation
assetType
Section 1 – Issue Discovery

Maintenance slip-Scan QR code if available
Date

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
✓ Asset Identified via QR Scan
Equipment and location have been pre-loaded.
Scroll down to describe the issue.
Location
Plant Location Name
Remote Station Name
Equipment

Other
Equipment Name
Discovered by (reporter)

First NameLast Name
Discovered by (staff list)
Issue

Other
Lock Out / Tag Out?
Notes / Remarks (issue details)
Upload photo of issue (optional)

Optional photo upload of issue
Cancelof
Issue with this form?

Text support at 401-372-4291

Email: support@thinkshink.com
QR Code Reader
Geolocation
Supervisor section
Supervisor Review
Date of Review

MonthDayYear
Date
Supervisor Name

First NameLast Name
Assigned to
Date Assigned

MonthDayYear
Date
Completed
Supervisor Remarks
Work Status
Priority
Crew or Department
Scheduled Work Date

MonthDayYear
Date
Estimated Completion Date

MonthDayYear
Date
Parts Needed
Follow Up Required
Completion Notes
Completed By
Completion Date

MonthDayYear
Date
Supervisor signature
Submission ID
Site ID
GPS Location Capture
Should be Empty:

Daily Maintenance Assignment Sheet