SERVICE REPORT

BATTERY

Service Please fill info or mark√

Work to follow
W/O Engineer Date
up

Service type □ Installation □ T&C □ Preventive maintenance □ Repair □ Others □ Warranty □ Contract □ Invoice

Customer

Company name PT. Fullerton Health

Address
Contact
Equipment address
Equipment
Battery brand Battery type Battery quantity

Battery Maintenance Please mark OK (√),not OK(×), not applicable (N/A) in the box
1 Cek Ventilasi ruangan, temperature ruangan dan hotspot area
2 Cek battery terminal dan kekencangan
3 Cek korosi dan kebocoran
4 Cek dan record tegangan dan tahanan dalam battery
5 Cleaning battery dan rak
Battery Measurement
String No. 1 String No. 2

No. Volt mꭥ No. Volt mꭥ

1 21

2 22

3 23

4 24

5 25

6 26

7 27

8 28

9 29

10 30

11 31

12 32

13 33

14 34

15 35

16 36

17 37

18 38

19 39

20 40

Tot V Tot V

Curr Curr

CUSTOMER ACKNOWLEDGEMENT : SERVICE ATTENDED BY:

SIGNED : _ SIGNED : ____

NAME : _______ NAME : _

White : Original Red : Technical Copy Blue : Customer Copy No.

 SERVICE REPORT
BATTERY

White : Original Red : Technical Copy Blue : Customer Copy No.