Title Page

  • Conducted on

  • TSL Number

Repair Information

  • Make

  • Model

  • Registration

  • Mileage or Hours

  • Number of Miles

  • Number of Hours

  • Serial Number

  • Colour

  • Details of failure

  • Discovered by

  • Name of Person who Discovered Failure

  • Works carried out

  • Labour (hours) used for repair

Parts used:

  • Supplier

  • Purchase Order or Credit Card Purchase?

  • Purchase Order Number(s)

  • Name of Credit Card Holder

  • Parts used:

  • Further attention required

  • Is the vehicle/plant safe to use

  • If no - MARK AS OUT OF ORDER, REMOVE KEYS FROM CIRCULATION AND NOTIFY MANAGEMENT

  • Signature

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.