Ref No :
Installation / Maintenance Service Report
Customer Name Date
Location Arrived
Time
Contact No. Time Left
⃝ Installation ⃝ Connection Engineer/ Technician In-Charge:
Type of Job ⃝ Maintenance ⃝ Programming
⃝ Site Visit ⃝ Others
⃝ CCTV System ⃝ Access Control ⃝ Intercom Others: (pls. specify)
⃝ PabX System ⃝ Gate Barrier ⃝ SMATV System
⃝ PA System ⃝ Gate Motor ⃝ Alarm System
Quantity (Per Condition)
S# Item List / Description Need To be
Good
Repair Replaced
Remarks: Items Need to be replaced/Add
(if any)
Item Name Qty
Project Manager:
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