In-House Slit Lamp Repair Report
Customer Information
Company / Practice Name
Address
Contact Name
Contact Phone
Contact Email
Shop Service Reference
RMA / Repair Order #
Sales Order / Case #
Zoho #
Date Received / Logged
Ophthalmic Field Service Technician
Slit Lamp Identification & Incoming State
Manufacturer
Model
Serial Number (S/N)
Illumination Type
Tower Style (Upper Illumination)
Base Style (Lower Illumination)
LED Integrated
Halogen
Incoming Physical Condition
Good
Fair
Heavily Worn / Damaged
Customer Reported Problem / Symptoms
Diagnostic Findings & Service Operations
Technical Root Cause & Findings
Completed Service & Reconditioning Steps
Complete bench teardown, chassis de-greasing, and deep cleaning
Eyepieces, magnification drum, and objective lenses cleaned and aligned
Slit width, height, and aperture rotation mechanisms rebuilt/adjusted
Illumination assembly rewired / bulb / LED power module serviced
Cross-slide table bearings flushed, lubricated, and play adjusted
Joystick height control and omnidirectional movement re-tensioned
Filter turret cleaned and indexed (Cobalt blue, Red-free, Heat absorbing)
Chinrest elevation motor / gear train inspected and lubricated
Slit and binocular optical parfocality & convergence verified on test rod
Detailed Repair & Rebuild Notes
Parts & Components Replaced
Part / SKU #
Description
Qty
Action
✕
+ Add Replaced Part
Final Quality Assurance & Bench Verification
Focusing rod test pass across all magnification levels (6x, 10x, 16x, 25x, 40x)
Glide movement and vertical elevation operate smoothly without backlash
Electrical continuity and ground safety testing completed
Protected, covered, and packed for return delivery/field return
Overall Service Status
Repair Completed — QA Passed
Pending Parts
BER (Beyond Repair)
Signatures & Service Approval
Supervisor: (Signature)
Clear Supervisor Signature
Supervisor Printed Name
Ophthalmic Field Service Technician: (Signature)
Clear Technician Signature
Technician Printed Name
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