System Problem report form

System Problem report form

This is a form to make the reporting of problems consistent, allow records of problems to be kept, and a method of discouraging users from reporting faults in the first place.

• Your name? ___________________
• Your login name? ____________________
• The date? __/__/__
• The date the problem first occured if different? __/__/__
• Problem Severity: Minor__ Minor__ Minor__ Minor__
• Which machine? ____________________
• Which area appears to be at fault? Communications__ Disk__ Base Unit__ Network__ Keyboard__ Screen__ Mouse__ Everything__ Don't Know__
  • Is it plugged in? Yes__ No__
  • Is it switched on? Yes__ No__
  • Has it been stolen? Yes__ No__
  • Have you tried to fix it yourself? Yes__ No__
    • Have you made it worse? Yes__
  • Have you read the manual? Yes__ No__
    • Are you sure you've read the manual? Yes__ No__
    • Are you absolutely certain you've read the manual? Yes__ No__
  • Did you understand it? Yes__ No__
    • If `Yes' then why can't you fix it yourself? _____________________________________________________________
  • Is the equipment unexpectedly noisy? Yes__ No__
    • If `Yes' what sort of noise? Grinding__ Rattling__ Whirring__ High pitched whine__ Sound of disk head scouring disk__ Strange, out of tune whistling or humming__
  • Is there a smell of burning? Yes__ No__
    • If `Yes' is the equipment on fire? Yes__ No__
  • Is the fault repeatable? Yes__ No__
  • What were you doing (with the equipment) at the time the fault occurred? ______________________________________________________
    • If `nothing' explain why you were logged in. _______________________________________________________________
  • Are you sure you aren't imagining the problem? Yes__ No__
  • Do you have any independent witnesses of the problem? Yes__ No__
  • Describe the problem. _______________________________________________________________
  • Now, describe the problem accurately. _______________________________________________________________
  • Speculate wildly about the cause of the problem. _______________________________________________________________ _______________________________________________________________
  • Can't you do something else, rather than bothering me? Yes__ No__

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