Date
*
/
Day
/
Month
Year
Date
Engineer's Name
*
Site Name
*
Address
*
Lift ID
*
Visit Type
Service
Callout
Repair
Other
Report
Service Type
*
Routine Service
Initial Service visit
One Off Service
Have you completed a Health & Safety Survey?
*
Yes
No
Have all Repairs been completed
*
Yes
No
Report
*
Items that require further attention
NOTES FOR OFFICE (NOT SEEN ON CUSTOMER REPORT)
Back
Next
Arrival
*
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
10
20
30
40
50
Minutes
Departure
*
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
10
20
30
40
50
Minutes
Left in service?
*
Yes
No
No One on site
1
Client's Name
*
Email for Worksheet
Client's Signature
*
Submit
Print Form
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