Elevator & Escalator Site Visit Report

Where is the work taking place

Who do you work for?

Reason for Visit

Customer

Site Name

Site Address

Street Address

Street Address Line 2

CityRegion / County

Postal Code

Visit Date

Date

Equipment Type

Other

KONE Equipment Number

Customer Equipment Reference

e.g. Passenger lift 1

Service Order Number

This will start with 9B... or 32...

Customer Reference

e.g. Order number if applicable

Unable to gain access

Other

Unable to gain access (Repairs)

Elevator Not Running

Equipment Not Running

Please describe equipment status on arrival

Equipment Running with Fault

Escalator Not Running

Elevator maintenance modules completed

Escalator maintenance modules completed

Equipment Failure

Description of Works Completed

Recommendations for Customer

Upload Photos to Support Recommendations

Condition Running?

Resources

Rows	Enter values for this visit
Travel time to site (hh:mm)
Arrival time (24 hr clock)
Time returned to service (24 hr clock)
Departure time (24 hr clock)
Total time on site (hh:mm)
Travel time from site (hh:mm)

Materials Used

Rows	Component 1	Component 2	Component 3
Material
Part number
Quantity
Van stock? (Y/N)
Centrally purchased? (Y/N)
Locally purchased? (Y/N)
Sourced from customer? (Y/N)

KONE ASM/ARM e-mail to receive report

example@kone.com [copy of form sent to this e-mail]

KONE ASM/ARM e-mail to receive report

Engineer/Technician Full Name

Engineer Contact Number

Do you want to receive a copy of this report?

Enter Engineer/Technician E-mail to receive report

example@example.com

Customer Name

Name of person on site

Customer Position

Job title or role

Customer e-mail

example@example.com [for follow up, not for distribution of this form]

Customer Signature

MBM Customer Guide Reference Material (Elev/Other)

MBM Customer Guide Reference Material (Esc)

KONE Elevator & Escalator Site Visit Report

Equipment Status on Arrival

Maintenance Completed

Condition on Leaving

Engineer Back Report