Gaming Machine Performance Report Form
Use this form to report a gaming machine’s operational status, performance metrics, errors, and maintenance needs for a selected reporting period.
Machine and Report Information
Machine Identifier/Name
*
Machine Type/Model
*
Location/Venue
*
Report Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporting Period Start
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporting Period End
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Performance and Incident Summary
Uptime Percentage
Total Plays / Session Count
*
Gross Revenue Estimate
Number of Errors / Faults
*
Maintenance Action Needed
*
Please Select
None
Minor Repair
Major Repair
Software Check
Other
Reporter Details
Reporter Name
*
Reporter Role / Contact Reference
*
Submit Report
Should be Empty: