Equipment Incident Report - Eaton Powerware 3G System SC200 Installation And Operation Manual

Equipment Incident Report

Please enter as much information as you can. Send the completed form, together with the item for repair to your
nearest authorized service agent. NOTE: Only one fault to be recorded per form.
For further information contact your Powerware DC product supplier or Eaton Corporation, Telecommunications
Solutions Division. Telephone: +64 3 343 7448, Fax: +64 3 343 7446. Or email: CustomerServiceNZ@eaton.com
Date:
Customer Information
Company:
Postal Address:
Return Address:
(Not PO Box)
Telephone:
Location of Failure
Product code:
System type installed in:
Site name or location:
Fault discovered
Failure source
Effect on system operation
INFORMATION (fault details, circumstances, consequences, actions)
Internal use only.
Reference No: __________ RMA: __________ NCR: __________ Signature: _________________ Date: __________
EQUIPMENT INCIDENT REPORT
Fax:
Serial number:
Delivery Unpacking
Initial test Operation after ______ years
Design Manufacturing
Transportation Installation
___________
None
Copyright © 2005-2007 Eaton Corporation. All Rights Reserved.
IPN 997-00012-54A
Document number:
Minor Major
July 2007
Email:
Serial number:
Installation
Other ___________
Documentation
Handling
_________________
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