Sono
Stim
Service
1.4. Problemlösungen.doc
Seite 8 von 8
1.4. Problem Solving
20.07.2000
Page 8 of 8
1.4.9. Service-Report
Serial No.:
...........................................
Software Release
...........................................
Date/Signature
...........................................
Name
...........................................
Information from customer
Customer: ..............................................................
Date: ...........................................
Description of malfunction: (e.g. malfunction with which pulse mode, which program,
during Single or simultaneous operation, ... )
.................................................................................................................................................
………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
The malfunction occurred:
once
sometimes
often
always
Under following conditions: after switch-on
device warm
during therapy
Others: .....................................................................................................................................
Special environmental conditions are:
humidity:.............……… temperature:.............………… mains supply:............……………….
Others:.....................................................................................................................................
Condition of the accessory:
................................................................................................
Repairs before and used spare parts
.................................................................................................................................................
.................................................................................................................................................
Remarks:..................................................................................................................................
.................................................................................................................................................
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