PHASEX LASER SERVICES FIELD SERVICE REPORT -- BLANK TEMPLATE This is the blank template of the report an equipment manufacturer, distributor or importer receives after each field visit. It is published so you can see the deliverable before you engage anyone. What this template is not: it is not a procedure, and it contains no settings, parameter values, measurement points, test order or calibration method. Those belong to the engineer and to the service documentation you supply, and they are not published. The template describes what you receive, not how the work is done. This template is published in English only. The page that links to it is available in English, French, Spanish and German, and a report can be delivered in English on any engagement; ask about other languages when the scope is agreed. PhaseX Laser Services is an independent service provider and is not affiliated with, endorsed by or authorized by any manufacturer. Manufacturer, brand and model names are used only to identify equipment. ================================================================================ 1. VISIT IDENTIFICATION ================================================================================ Report reference .................. ____________________________________ Date of visit .................... ____________________________________ Site / city / state .............. ____________________________________ Engagement reference (yours) ..... ____________________________________ Attending as ..................... [ ] PhaseX, named [ ] white label Visit type ....................... [ ] installation [ ] commissioning [ ] evaluation [ ] field repair [ ] operator handoff [ ] follow-up Engineer ......................... ____________________________________ ================================================================================ 2. EQUIPMENT IDENTIFICATION ================================================================================ Machine make and model ........... ____________________________________ Machine serial number ............ ____________________________________ Laser source make and model ...... ____________________________________ Source serial number ............. ____________________________________ Control platform on the panel .... ____________________________________ Software / firmware as found ..... ____________________________________ Configuration as found ........... [ ] matches your records [ ] differs from your records, see 7 Hours / counter as found ......... ____________________________________ ================================================================================ 3. CONDITION AS REPORTED ================================================================================ Reported by ...................... [ ] end customer [ ] you [ ] both The fault in the customer's words: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Alarms or messages present on arrival: ______________________________________________________________________ ______________________________________________________________________ Production status on arrival ..... [ ] running [ ] degraded [ ] stopped ================================================================================ 4. SCOPE OF THIS VISIT ================================================================================ Scope agreed in writing before dispatch .... [ ] yes [ ] no Scope reference / date ...................... ____________________________ The scope as agreed: ______________________________________________________________________ ______________________________________________________________________ Changed on site? ............. [ ] no [ ] yes, approved by ______________________ at _______________ (time) ================================================================================ 5. OBSERVATION CATEGORIES ================================================================================ For each category: NOT IN SCOPE / NO FINDING / FINDING / UNABLE TO ASSESS. "FINDING" and "UNABLE TO ASSESS" are written up in section 7. Electrical and power distribution ........... ______________________ Control, interface and software ............. ______________________ Motion, drives and mechanics ................ ______________________ Laser source and its supply ................. ______________________ Beam delivery and optics .................... ______________________ Cooling and thermal ......................... ______________________ Gas, extraction and consumables ............. ______________________ Safety circuits and interlocks .............. ______________________ Installation and site conditions ............ ______________________ Operator practice and handling .............. ______________________ ================================================================================ 6. WORK PERFORMED ================================================================================ Checks carried out, and what each one established: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Readings recorded during the visit ...... [ ] attached [ ] none taken Adjustments made ........................ [ ] none [ ] listed below ______________________________________________________________________ Parts changed on this visit: Part / description Qty Source of part ____________________________________ ____ __________________________ ____________________________________ ____ __________________________ Functional test performed ............... [ ] yes [ ] no, reason in 7 Acceptance criteria used (stated by you) ____________________________ Result .................................. [ ] met [ ] partly met [ ] not met ================================================================================ 7. OPEN ITEMS AND WHAT WOULD CLOSE THEM ================================================================================ No. Open item What would close it ___ _______________________________________ ____________________________ ___ _______________________________________ ____________________________ ___ _______________________________________ ____________________________ Items outside the agreed scope, reported for information only: ______________________________________________________________________ ================================================================================ 8. RECOMMENDED NEXT ACTION ================================================================================ Recommendation ........... [ ] none required [ ] parts, then a second visit [ ] bench or workshop work [ ] action by you or the manufacturer [ ] action by the end customer Parts identified for the next step: Part / description Qty Identified from ____________________________________ ____ __________________________ ____________________________________ ____ __________________________ Quotation to follow ...... [ ] yes, by __________ [ ] not requested ================================================================================ 9. DOCUMENTATION SUPPLIED WITH THIS REPORT ================================================================================ [ ] Photographs of equipment, labels and fault displays .... count ______ [ ] Configuration and parameter backup, as found ........... file ________ [ ] Configuration and parameter backup, on completion ...... file ________ [ ] Alarm or log export .................................... file ________ [ ] Your own report form, completed ........................ ref _________ [ ] Other .................................................. ____________ ================================================================================ 10. ACCEPTANCE ================================================================================ Engineer Name ........... ______________________________________ Signature ...... ______________________________________ Date ........... ______________________________________ Customer or site representative Name ........... ______________________________________ Role ........... ______________________________________ Signature ...... ______________________________________ Date ........... ______________________________________ Signature here records attendance and the condition reported at handover. It is not an acceptance of liability by either party, and it does not replace the acceptance terms in the written scope. ================================================================================ PhaseX Laser Services, a registered DBA of CoreX Robotics Services LLC 239 New Road, Suite B210, Parsippany, NJ 07054 (732) 516-8880 -- service@phasexlaser.com Blank template. No customer data, no measured values and no machine-specific content appear in this file.