Name (First & Last)

Enter your name here.

Customer Name

Name of Customer where work will take place.

Plant Location

Plant name or location of plant.

Cust. Work Order No.

Customer Work Order Number, if Known. NA if not known.

Known Work Description

Describe work to be completed. Be short. Be accurate. Use equipment numbers, if known.

Est. Hours to Complete Scope

Estimated total man-hours to complete this scope of work. Examples: If one tech for one 8-hour day, then 8 hours. If one tech for two 40 hour weeks, then 80 hours. If three techs for three 10-hour days, then 90 hours.

Est. Total Cost - Parts, Materials, Supplies

Rough estimate of cost of parts, materials, and supplies to complete this scope of work.

$

Additional Tech Notes

(Not Requited) If you have any added important notes for this, please type them here.

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