SERVICE
TERMINATOR-1000
Rev. 000
10/03/2008
34/35
6.2 CLAIM REPORT
Please, fill in the format below if the machine shows particular problems.
Operator:
Company:
Operator’s name:
Role:
Date: Signature:
Machine description:
Machine: Model:
Purchase date:
S.N.:
Warranty:
YES
NO
Work hours :
Where does the machine
normally work?:
Fault:
Code of the defected
component:
Description:
Fault:
Fault short description:
Mechanical component
Wrong functioning
Electric system
Engine
Missing component
Estremely noisy
Water leak
Other
Customer’s suggestion:
