Field Service Report Form
Date/Time:
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Month
-
Day
Year
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1
2
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5
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8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Type of Service:
Preventative Maintenance
Preventative Maint - Emergency
Field Service
Field Service - Emergency
Sales
Other
Technician:
Chris Edwards
Ed Gurski
Phil Herman
Tristan Hils
Mark Knight
Matt Knight
Jeff Whitacre
Jobsite Name:
Location at Site:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Site Contact:
First Name
Last Name
Position:
Maintenance
Theatre Dept
English Dept
Band/Music Dept
Administrator
Other
Contact EMail:
example@example.com
Contact Phone:
-
Area Code
Phone Number
Cell Phone:
-
Area Code
Phone Number
Type of System:
Colortran D192
Colortran ENR 24
Colortran ENR 48
Colortran ENR 96
Colortran I series 24
Colortran I series 48
Colortran I series 96
Colortran I series e 24
Colortran I Series e 48
Colortran I Series e 96
Colortran Remembrance
EDI MX
EDI Prolite
EDI Twilite
ETC DAS
ETC DR12
ETC DR6
ETC Echo
ETC SR 24
ETC SR 48
ETC SR48+
ETC Unison
Hubbell NX
ILC LightLEEDer
ILC LightMaster
LC&D GR 2400
LeHigh DX
Leviton D4200
Leviton D8000
Leviton Topaz 96
Leviton Z-Max
Leviton Z-Max+
Microlite 600
MicroLite 1000
Microlite LMS95
Sound System
Strand CD80
Strand DE90
Strand Environ
Type of Control:
Additional System Info:
Additional System Info:
Dimming System
Clean and check the dimmer/relay rack(s) including: bus bars, fans, relays, fuses, dips, electronics, wiring, metal framework, line lugs, load lugs, and neutral lugs (tighten as needed)
Clean and check all airflow and dimmer/relay modules
Clean and check all control modules including: dips, chips, fuses, ramps, airflow sensors, PCB boards, metal framework, and lithium batteries
Perform hard reset of system and re-boot via memory card and/or laptop/PC
Check systems via control stations (which can include LCD, LED and entry station) using the architectural control system(s). All presets should be present and fully functional (if applicable
Check operation of PC’s and accessories, if present
Clean and check the lighting console (if present) including: dips, chips, sliders, bump-buttons, rate wheel, disk drive, fan, and monitor
Perform hard reset of board and reload patch from disk in control room
Run and assess system diagnostics
Control Module Battery Level:
Control Console Battery Level:
Internal Components:
Load Lugs
Line Lugs
Neutral Lugs
Buss Bars
Siderails
Metalwork
PCB Boards
Internal Connecting Wires
Dip Switches
Fans
Fan Relay
Wire Harness
Fan Fuse
Terminal Connections
LV & Panic
Control Module(s):
Thumb-Wheels
Dips
Sensors
Fuses
Electronics
Relays
Architectural Control(s):
Hard-Reset
LCD (presets)
LED (presets)
Entry (presets)
Control Console(s):
Sliders
Electronics
Dimmers & Airflow Modules:
Clean & Check
Relay System(s):
Processor
Buss Cards
Relays
Fuses
Relay System:
Check the relay rack(s) including: relays, breakers, fuses, dips, electronics, wiring, metal framework, and lithium batterype option 1
Check all relay cards
Upgrade software version to most currently available form
Perform hard reset of system and re-boot via laptop/PC
Create back-up folders for existing files
Check systems via control stations. All presets should be present and fully functional (if applicable)
Run and assess system diagnostics
Relay System Software Version:
Description of services rendered:
Description of billable parts or parts repairs:
Parts taken for repair TODAY:
Loaner Info:
Description of follow-up actions:
Additional Site Contacts:
I agree that this work was performed as indicated:
Yes
Signature:
Submit
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