VSL
Field Feedback
Field Feedback
Problem Report
Share product, equipment & logistics issues or improvement ideas
Phone
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Reporter's Name
First
Last
Report's Phone
Reporter's Email
Title
Main Problem in a few words
Description
Give us some more details
Priority
1 / High
2 / Medium
3 / Low
Type
Equipment Documentation Problem (Unclear how to operate)
Equipment Electrical or Software Problem
Equipment Engine/Motor Problem
Equipment Electrical or Software Problem
Equipment Mechanical or Hydraulic Problem
Delivery Problem (Wrong Item or QTY)
Documentation Problem (Unclear how to install or operate)
Product Freight Damage (Arrived broken)
Product Function Problem (Doesn't Fit or Work)
Safety Concern
Submit Improvement Idea
System Test Failure (Assembly failure, Air-testing, Elongation or Engineering Issue)
Uncategorized (Other Problem)
Source
Field User
Engineering
Manufacturing
Equipment Pool
Other
Affected Item
What’s broken?
Affected QTY
How many are broken?
Sequence of Events Leading to Problem
Impact
How does this affect the job (schedule delay, back-charges, etc)
Proposed Actions
What can we do to keep things moving?
Target Resolution Date
YYYY dash MM dash DD
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