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Personal Information (Required)

Name: 

First:  
Last:
Title: 

Company: 

Address: 
City: 
State:    Zip:
Phone: 
E-Mail: 
Industry Information
Industry Type:  e.g. Process, Engineering, etc.
Main products:  What are the main products of your company?
Production Divisions:  How many sections, workshops, divisions, etc. 
Machines:  Approximate number of machines or equipment you maintain
Reasons for Evaluating CMMS
Top 3 Reasons:  List some of the reasons why you decided to evaluate CMMS software
Organizational Information
Main Contact:  Main person who will coordinate with top-management and users
First:
Last:
Title:
Other Contacts:  Names and Titles of other people we should know
Maint. Setup:  We have a distributed setup
The number of maintenance groups are
People Count:  (Number of people in maintenance)
No. of Work Shifts: 
People Utilization:  We do need to monitor sub-contractors utilization
% Breakdown Time: 
Maintenance Jobs
Maint. Jobs:  Number of maintenance jobs handled per week by Breakdowns, Preventive Maintenance, Service Jobs, Misc. Jobs, Opportunity Jobs, Routine Jobs, Repair Jobs, housekeeping, etc.
Job Initiation:  How is a maintenance job reported (job slip, requistion, etc.)
History Log:  How is the machine history maintained, and how regularly do you update the history records?
Preventive Maintenance
No. of Machines:  Number of machines you do preventive maintenance on
Schedule Creation:  Methodology for schedule generation: is it from a fixed reference date, from the last done date, etc.? 
Calibration:  Does instrument calibration come under maintenance department?
How many instruments do you have?
Repairs:  Do you have a repairs shop to repair any spares or machine assemblies in-house? 
If yes, how do you maintain records for these?
Spares and Engineering Stores
Parts Codification:  Yes, all our spare parts have unique codes
Usage Tracking:  Yes, we keep track of all spares that are consumed on jobs.
If you answered YES above, what system do you use to do this?
Monitoring
Utilities:  Mention any utilities that are monitored by Engineering Dept.
e.g. Generators, Feeders, Compressors, Boilers, Water, Gas, etc.
Condition:  What equipment do you perform Condition Monitoring on?
Any other information

Other: 

     

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