TROUBLE LOG

Date:___/___/___

Time:____:____ am__pm__

NAME:__________________________________________________________________________________________

Badge Number:____________________________________________________________________________________

Equipment:________________________________________________________________Model #_________________

Location:_________________________________________________________________________________________

COMPLETELY DESCRIBE THE PROBLEM:

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STATUS: ('Olelo staff only)

Date:___/___/___

Routed to:_______________________________________________________________________________________

Recieved by:__________________________________________________________________Initials:______________

Action Taken:_____________________________________________________________________________________

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FOLLOW UP:

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