Out of Service Process Form
Report and track assets or systems that are currently out of service for maintenance, repair, or other reasons.
Asset or System Name
*
Asset/Equipment ID or Reference Number
Location of Asset/System
*
Date and Time Out of Service Started
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Being Out of Service
*
Please Select
Scheduled Maintenance
Unexpected Malfunction
Safety Issue
Awaiting Parts
Other
Describe the Issue
*
Urgency Level
*
Low
Medium
High
Reported By (Full Name)
*
First Name
Last Name
Department or Team Responsible
*
Please Select
Maintenance
IT
Facilities
Operations
Other
Expected Resolution Date and Time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Upload Supporting Documents or Photos
Upload a File
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Choose a file
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of
Current Status
*
Please Select
Reported
In Progress
Awaiting Parts
Resolved
Submit Out of Service Report
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