Title Page

  • Banlaw-RGB.jpg
  • Document No.

  • Date/Time

  • BANLAW JOB INFORMATION

  • Prepared by

  • Document Number, Job Number and Description

  • CLIENT/SITE INFORMATION

  • Direct Site Contact for Appointment and Attendees

  • Location

  • Billing Types

  • Special Conditions

Scope of Work

  • Enter a new Job Task for each entry in Scope of Works

  • Task
  • undefined

Pre-work Checklist

  • Site Access and Training all up to date to perform the Job Tasks

  • Speak with site rep when entering property

  • Proper PPE for job, site and conditions

  • Tools in good condition to include computer

  • Parts Required

  • Part Requisition Form

  • Parts Requisition completed and Submitted

Conducting Work

  • Date of Work

  • Vehicle Inspection Complete

  • Complete Job Safety Paperwork(attach before work progresses)

  • Attach Safety Paperwork

  • Enter a new Line of information for each Job task in the Scope of Work

  • Line
  • Task Line

  • Description of work performed

  • Time: Hours (30 min increments)

  • Attach Pictures (Optional)

Defects / Action Items

  • For Each Defect/Action enter a new Action Item

  • Action
  • Lock Out, Tag Out, Test Out - Disable system on PLC, Lock out power switch next to each pump

  • comments

  • Attach picture(Optional)

  • Open Valves, Drain Cannisters

  • comments

  • Attach picture(Optional)

  • Replace Pre-Filters, Can Filters, Coalser filters

  • comments

  • Attach picture(Optional)

  • Clean out Strainers, wipe off Magnetic rods (every time filters are changed)

  • comments

  • attach picture (Optional)

  • Replace O Rings and Seals (each time filters are changed)

  • comments

  • Attach picture (Optional)

  • Inspect Accumulators for leaks (during filter replacement)

  • comments

  • Attach picture (Optional)

  • Close drain valves, open fill valves

  • comments

  • Attach picture (Optional)

  • Remove covers and inspect couplers

  • comments

  • Attach picture (Optional)

  • Remove Locks, enable power, enable system on PLC, manually start system, check<br>for leaks

  • comments

  • Attach picture (Optional)

  • Check and replace Breather filters on storage tanks

  • comments

  • Attach picture (Optional)

  • Replace cannister Filters on inline filtration

  • comments

  • Attach picture (Optional)

  • Inspect for leaks, piping, hosing, vents, valves, filters

  • comments

  • Attach picture (Optional)

  • Inspect Signs, Lighting

  • comments

  • Attach picture (Optional)

  • Check Fire Extinguisher dates, conditions

  • comments

  • Attach picture (Optional)

  • Cleanliness

  • comments

  • Attach picture (Optional)

Job Completion

  • Job Number

  • Total Hours (This Sheet)

  • Are there any action/defect items still required to complete job?

  • BANLAW Representative

  • CLIENT Authorized Representative

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.