Laundry Service Report
1300 JAYCHEM (1300 529 243)
Site details
Site name
Address
Contact name
Position
Email
Additional Email
Additional Email
Phone
Jaychem representative
Name
Phone
Date
Service Type
Please select
Preventative Maintenance
Emergency Callout
Project Work
Audit Process
Program validation audit
Other
General Comments / Follow Up
Project work
Yes
No
Project type
EMPA wash quality assessment
Validation of disinfection standards
Complete AS4146:2000 validation
Water and energy audit
Productivity analysis
Linen degradation testing
Dispenser upgrade
Wash program calibration
New installation/setup
Innovation deployment
Other
Rating
To be completed by the customer
Based on our service today, would you recommend JayChem to a friend or colleague?
Please select
1 - Strongly recommend JayChem
2 - Would recommend
3 - Neutral
4 - Would not recommend
5 - Strongly recommend against JayChem
Reviewed by
Signature
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Full name
Contact number
