Service Request Form

Please use the form listed below to request a service for your machine/engine.

    Customer & Site Contact Details

    Simply complete the form below and we will be in touch.
    Fields marked * are required.

    OEM / CUSTOMER *

    OEM / CUSTOMER ADDRESS *

    MACHINE / SITE ADDRESS *

    OEM CONTACT NAME *

    SITE CONTACT NAME *

    OEM CONTACT TEL *

    SITE CONTACT TEL *

    OEM CONTACT E-MAIL *

    SITE CONTACT E-MAIL *

    Engine & Application Details

    ENGINE MANUFACTURER *

    ENGINE MODEL NUMBER *

    ENGINE SERIAL NUMBER*

    ENGINE HOURS RUN *

    MACHINE TYPE *

    DATE PURCHASED/COMMISSIONED *

    DRIVE TYPE OR DRIVEN EQUIPMENT *

    Reported Fault Details

    CRANKING *

    RUNS BUT IS SMOKING *

    CRANKING BUT NOT STARTING *

    RUNS BUT IS MECHANICALLY NOISY *

    STARTS BUT STOPS IMMEDIATELY *

    LEAKING FLUID - OIL *

    STARTS BUT WILL ONLY IDLE *

    LEAKING FLUID - FUEL *

    RUNS BRIEFLY THEN STOPS *

    LEAKING FLUID - COOLANT *

    RUNS ERRATICALLY *

    ADDITIONAL INFORMATION

    HAS AN ENGINEER ATTENDED THIS UNIT BEFORE (NOT A POWER TORQUE ENGINEER)?

    IF YES, FROM WHICH COMPANY?

    WHAT DATE DID THEY ATTEND?

    Health & Safety

    ARE THERE ANY SPECIFIC SITE H&S OR PPE REQUIREMENTS? *

    IF YES, PEASE GIVE DETAILS

    IS A SITE INDUCTION REQUIRED BEFORE ATTENDANCE? *

    WILL THERE BE A QUALIFIED PERSON ON SITE TO OPERATE THE MACHINE/ENGINE? *

    Declaration

    The reported fault may or may not be covered by the manuafcturers warranty. By submitting this form you are accepting that should the fault not be covered by warranty, it will be a chargeable job based on the rate card below. Any chargeable work will be agreed prior to commencement of said work and an order number or pre-payment will be required before we attend site to investigate the concern.