Equipment problem

Tell us what has gone wrong.

Describe what the equipment is doing. Photographs and the model label help us arrive with the right parts.

Equipment down today? Call us and we will tell you when an engineer can attend. 07915 527 907

If you believe the equipment may be unsafe (smoke, burning smells, sparking, a pressure-system concern or contaminated water), isolate it and do not use it until it has been checked.

Please do not include patient information.

This form is for equipment and practice details only. Do not enter patient names, clinical notes or any other patient-identifiable information, and do not upload images that show patients.

The equipment

Type of equipment

Manufacturer (optional)

If known.

Model (optional)

From the label on the unit.

Serial number (optional)

If you can see it.

What is it doing?

Describe the fault: what happens, when it started, any noises, lights or error codes. No patient information.

When did it start? (optional)

Is clinical activity affected?

No clinical impact Working with reduced capacity One surgery out of use Practice cannot treat patients

There is smoke, a burning smell, sparking, a pressure concern or contaminated water.

Photographs or documents (optional)

Up to 5 files, 10 MB each: JPEG, PNG, WebP, HEIC or PDF. A photo of the model label and of the fault helps most. No photographs showing patients.

The practice

Practice name

Practice postcode

Address (optional)

You

Your name

Email address

Telephone

Best time to call (optional)

How should we reply?

Telephone Email Either

I have read the privacy notice and I am not sending patient or clinical information.

We will tell you when an engineer can attend. Attendance is confirmed on the call, not by this form.