1.	Your name:
2.	Your login name:
3.	The date: //
4.	The date the problem first occurred (if different): //
5.	Problem severity: Minor Minor Minor Minor
6.	Which machine?
7.	Which area appears to be at fault? Communications Disk Base unit Network Keyboard Screen Mouse Everything Don't know
7.1	Is it plugged in? Yes No
7.2	Is it switched on? Yes No
7.3	Has it been stolen? Yes No
7.4	Have you tried to fix it yourself? Yes No
7.4.1	Have you made it worse? Yes
7.5	Have you read the manual? Yes No
7.5.1	Are you sure you`ve read the manual? Yes No
7.5.2	Are you absolutely certain you`ve read the manual? Yes No
7.6	Did you understand it? Yes No
7.6.1	If 'Yes,' then why can't you fix it yourself?
7.7	Is the equipment unexpectedly noisy? Yes No
7.7.1	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
7.8	Is there a smell of burning? Yes No
7.8.1	If 'Yes,' is the equipment on fire? Yes No
7.9	Is the fault repeatable? Yes No
7.10	What were you doing (with the equipment) at the time the fault occurred?
7.10.1	If 'nothing,' explain why you were logged in.
7.11	What are the 39 steps?
7.12	Are you sure you aren't imagining the problem? Yes No
7.13	Do you have any independent witnesses of the problem? Yes No
7.14	Describe the problem.
7.15	Now, describe the problem accurately.
7.16	Speculate wildly about the cause of the problem.
7.17	Can't you do something else, rather than bothering me? Yes No