TECHNICAL ASSISTENCE
I 16/18 NEW
Rev. 00
05/07/04
Pag. 35/36
Form filled by:
Company:
Name of compiler:
Position in the firm:
Date:
Signature:
Description of the machine:
Machine:
Model:
Purchase date:
Chassis:
Machine under
warranty:
YES
NO
Hours of work :
Point out working
environment of the
machine :
Description of defect:
Code of defective
particular:
Name:
Typology of defect:
Short description of defect:
Defective mechanical component
Incorrect functioning
Electrical system failure
Engine failure
Missing component
Excessive noisness
Water leakage
Other
Customer’s notes:
Please point out notes and/or suggestions on products / services of Ing. O. Fiorentini S.r.l.