Information

  • Work Order - Address.

  • Conducted on

  • Completed by

  • Location
  • Work to be done description

Repair details

  • Urgency of repair

  • Work to be completed description

  • Enter Suggested Repair Time Identify preferred repair time based on site assessment and conditions Eg: Any time from Monday to Friday (9am - 3:30pm) Saturday or Sunday morning (5am - 9pm)

Have Asset Locations Been Completed?

  • Can the dig be done by hand?

  • Locations Required. Have they been comleted?

Planning details

  • Shutoff required?

  • Business in shutoff block?

  • Hospital in shutoff block?

  • Residential in shutoff block?

  • Number of valves in shutoff?

  • Additional resources required for shutoff?

  • Notification cards required?

  • Number of cards required?

  • Traffic control required?

  • Traffic control special details

  • Can the work be performed by:

  • Work details for 2 X 1 manners

  • Add photo

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.