Title Page

  • Conducted On

  • You MUST click the pin icon, do not manually type a location.

  • Store Location
  • Client

  • Client Name:

  • Store Number

  • Store Name

  • Conducted By

Store Info

  • Has the Store Signing In Book been signed?

  • Why Not?

  • ! Works should not commence without signing the store register !

  • Photograph of Signing In Book

  • Has all site H&S information been read, and understood?

  • Why Not?

On Site Personnel

  • Total Number Of Engineers

  • Photo’s Of All Engineers CSCS & Any other required acreditations:

Pre Works Photos

  • Photograph of Installation area before Works

  • Wide angle photo of Works area, Clearly Visible

Works

  • Job Completed As Per SOW

  • Please List additional works required in detail (Quantities, Dimensions & Detailed Description):

  • Any On Site or H&S Issues

  • Please Explain

  • Store Handed Back Fit To Trade

  • Please Explain

  • Site Lead / Engineers Comments

Photos & Details of Works Completed

  • You must add a new response (Using the + Icon) for each task completed on site.

  • Works Action #
  • Task Name:

  • Photos of task:

Sign Off Documentation Images

  • ATL Risk Assessment or Safe System Of Work Declaration: (Clear Image, Signed)

  • ATL Sign Off Sheet Completed:

Engineers Sign Off

  • ATL Lead Engineer / Supervisor

  • You MUST click + and fill out the following section for each additional ATL member to sign.

  • Additional ATL Personnel Signature:
  • Full Name

  • Sign Here

Main Contractor / Store Manager or Site Contact Signature

  • Job Title

  • Signed

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.