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Faulty Equipment Log
Please complete if you find any equipment not working as it should or a piece of equipment is damaged.
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* Indicates required question
Reporter's Name
*
Your answer
Device at Fault
*
Your answer
Nature of Fault
*
Your answer
Is the item still usable?
*
If the item is not still safe to use, please ensure it is appropriately tagged and removed from operational duty, notifying a senior manager as a matter or urgency.
Yes
No
Senior Manager Reported to:
*
Your answer
Has this fault been rectified?
*
Yes
No
Please specify how this fault has been rectified.
*
Your answer
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