Annual Workshop Maintenance Enquiry Form
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Ref No.: TSL0149 Issue No.: 005 Page 1
Annual Workshop Maintenance – Enquiry Form
Client Name:
School Address:
Contact Name: Contact Email:
Contact Telephone No.: Contact Fax No.:
Date of last service: Promotion code (if applicable):
Please detail available access times and any access restrictions to your site:
Services Required
Annual maintenance We require additional information for the items below. Once ticked, please complete the LEV relevant sections on this form.
Sewing machines Laser cutters
Garage equipment Fume cupboard
PAT Heat bay
Any other… Kiln
[email protected] www.technologysupplies.co.uk Telephone: 01743 453 280 Fax: 01743 453 272 Phoenix House, Stafford Drive, Battlefield Enterprise Park, Shrewsbury, Shropshire SY1 3FE Ref No.: TSL0149 Issue No.: 005 Page 2
Equipment Schedule
Details of equipment to be serviced/inspected. Please list all machinery and dust/fume extraction units that require any of our services.
Please note, we require additional information for certain items of equipment. Please consider other sections on this form for those items.
(Please use a separate sheet for each workshop/room)
Room No.:
Machine Type Make Model Year of PAT req.? Manufacture (Y/N)
*Please use supplementary sheet if necessary
Laser Cutters
Details of equipment to be serviced/inspected. Please list all laser cutters (Please use a separate sheet for each workshop/room)
Make Model Serial No. Wattage
[email protected] www.technologysupplies.co.uk Telephone: 01743 453 280 Fax: 01743 453 272 Phoenix House, Stafford Drive, Battlefield Enterprise Park, Shrewsbury, Shropshire SY1 3FE Ref No.: TSL0149 Issue No.: 005 Page 3
*Please use supplementary sheet if necessary
Heat Bay
As standard, TSL will carry out a safety/electrical inspection. We can provide a quotation for a full gas service by a specialist Gas Safe Engineer at your request. Please tick the box if you require this additional specialist service:
Specialist full gas service required
Kilns
As standard, TSL will carry out a safety/electrical inspection. We can provide a quotation for an annual health and safety check, or a full kiln service:
Health & Safety Check
Full Kiln Service (recommended bi-annually)
Fume Cupboards
As standard, TSL will carry out a COSHH test. We can provide a quotation for a specialist Fume Cupboard service at your request. Please tick the box if you require this additional specialist service:
Specialist Fume Cupboard service required
Please specify your Fume Cupboard equipment:
Mobile or fixed? Make Model Serial Number
[email protected] www.technologysupplies.co.uk Telephone: 01743 453 280 Fax: 01743 453 272 Phoenix House, Stafford Drive, Battlefield Enterprise Park, Shrewsbury, Shropshire SY1 3FE Ref No.: TSL0149 Issue No.: 005 Page 4
[email protected] www.technologysupplies.co.uk Telephone: 01743 453 280 Fax: 01743 453 272 Phoenix House, Stafford Drive, Battlefield Enterprise Park, Shrewsbury, Shropshire SY1 3FE Ref No.: TSL0149 Issue No.: 005 Page 5
Other Information:
Please note any specific requirements which may not have been covered above or any known faults.
[email protected] www.technologysupplies.co.uk Telephone: 01743 453 280 Fax: 01743 453 272 Phoenix House, Stafford Drive, Battlefield Enterprise Park, Shrewsbury, Shropshire SY1 3FE Ref No.: TSL0149 Issue No.: 005 Page 6
Annual Workshop Maintenance Enquiry Form – Supplementary Page
Room No.:
Machine Type Make Model Year of PAT req.? Manufacture (Y/N)
[email protected] www.technologysupplies.co.uk Telephone: 01743 453 280 Fax: 01743 453 272 Phoenix House, Stafford Drive, Battlefield Enterprise Park, Shrewsbury, Shropshire SY1 3FE