Title Page

  • Document No.

  • Customer

  • Location
  • Prepared by

Equipment Details

  • Are Equipment Details Required for this Survey?

  • Fleet Number

  • Make - Model - Serial

  • Hour Meter Reading

  • Reason Not Needed

Details

Site Survey

  • Date of Visit

  • Area 1 Details

  • Area 2 Details

  • Area 3 Details

  • Area 4 Details

Client Declaration

  • Is signature required?

  • I have reviewed the above Job Card and confirm the Details are accurate.

  • Job Title

  • Full Name

  • Signature

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.