INFORMATION NEEDED FOR
BASIC HEALTH CHECK REPORT

The more details you can provide, the better the SMT Health check report will be.

COMPANY INFO
Company
Production location (address)
Zip code
City
Country
Webpage
Your name
Email
Telephone
How many SMT production lines do you currently have?
Please fill in info on each production line on the following page
How many different products do you typically produce every day on each SMT line?
Per line, every day
What are your production hours?
Per day
Days per week
Weeks per year
With how many people do you run your SMT production line?
Please indicate the number per job function
Operators
Supervisors
Production preparation engineers
Maintenance staff
Others
How do you prefer to get feedback on the information provided?