Service manual

76 Appendix B: Service Event Reporting
Service Event Report Form
Service Event Report
Instructions on reverse
Service Type
(check one) Parts Status (check one)
For SonoSite Use O
Out of Box Failure
No parts necessary for this repair. Service
Event Report for your information.
Service Request
Warranty Service
I need parts for this repair (list the parts below
and attach Purchase Order)
Order Number
Out of Warranty Service
I need parts to replenish my stock (list the
parts used below and attach Purchase Order)
RMA Number
Will not replenish stock. Please give me a
RMA for the return of the faulty parts.
Work Order
No parts necessary. Please issue a RMA for
repair at SonoSite.
Service Provider
Name:
Provider Reference:
Company: Date Reported:
Address:
Phone Number: Fax Number:
E-mail address:
Device Description
Ref Number:
Serial Number:
Name: Lot Number:
ARM/SHDB Version: Configuration:
Problem Found
Service Performed
Performed By: Date:
Parts Removed
Part Name Part Number Serial Number Lot Number Rev Replace
Parts Installed
Part Name Part Number Serial Number Lot Number Rev Replace
Tests Performed (attach test data)
Test: Test:
Enter complete
contact information
Enter product information for
the s
y
stem bein
g
re
p
aire
d
Put the system configuration here.
You can find this on the System
Information Page
Enter details for parts being
removed from the s
y
ste
m
.
Choose a Service Type
Choose a Part Status
Enter DETAILED problem
description here.
Enter details for parts being
installed into the s
y
ste
m
.