Site Engineer Visit Report Template [PDF]

Citation preview

SITE ENGINEER REPORT Company Name:



Site Address:



Visit Date: Arrival time: Offsite time:



Onsite Contact: Ticket Number:



Detailed description of work completed: ………………………………………………………………………



………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. * Parts used? * Parts left onsite?



□ Yes □



No □



Yes



* Issue Resolved?



No □



* Is another visit required?



* Removed part number(s)



* Installed part number(s)



* Removed part serial(s)



* Installed part serial(s)



Yes □ Yes □



No □ No □



Engineer Name: ___________________________ Engineer Sign This section must be completed by the on-site point of contact. To the POC: please check the boxes, sign, print your name, and include the date of service below. I certify that the arrival and release times on this report are correct.



Yes



□



No



□



I also certify that I am satisfied with the work completed.



Yes



□



No



□



___________________________________________ Customer Sign ___________________________________________ Customer Name



Comments:



………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. REQUIRED: Visit reports should include all times mentioned above, the POC spoken to and a detailed description of task(s), assets (including S/N), and delays if any. Please provide explanation for hours spent on site on the back of this form. All overtime hours and after-hours (after 5 pm LT) must be approved by POC and documented. All forms must be returned within the next business day of the visit.