Service Report

W/O Work to follow up Engineer Date

Service Type Assesment Pre-Comm PM Trouble Shooting Repair Other Warranty Contract Out of Contract
Customer
Company Name Province

Address

Contact Phone Email

Equipment Address Type SN

No CHECKED ITEMS CONDITIONS

1 Input Supply System Voltage / Frequecny : V/ Hz Phase

a. Voltage ( Vac ) R-N: S-N: T-N: R-S: S-T: T-R:

b. Frequency ( Hz ) Freq :

c. Current ( Amp ) R: S: T: Netral :

d. Ground Neutral ( Vac ) N - G:

2 Output Supply System Voltage / Frequecny : V/ Hz Phase

a. Voltage ( Vac ) R-N: S-N: T-N: R-S: S-T: T-R:

b. Frequency ( Hz ) Freq :

c. Current ( Amp ) R: S: T: Neutral :

d. Load ( KVA ) R: S: T: Total :

e. Load Percentage ( % ) R: S: T: Total :

f. Ground Neutral ( Vac ) N - G:

3 Battery System Brand : Type : Quantitiy : Batt : Ban

a. Battery Voltage ( Vdc ) Positive - Negative : Positive - Neutral : Negative - Neutral :

b. Charger Voltage ( Vdc ) Positive - Negative : Positive - Neutral : Negative - Neutral :

c. Current ( Amp ) Positive : Negative :

d. Charger Status Float Boost Other Runtime :

4 LCD Status Normal Poor N/A

5 LED Status Rectifier Inverter Bypass Battery Charger Alarm

Temp : OC
UPS Fans : OK Fails / Abnormal
6 Room and Environment
Clean Average Dusty
Customer Complain / Report

Activity Engineer

Recommendation

Service Engineer Quality of Job Customer Representative

Good
Average
Poor

Name & Signature Name & Signature