Title Page

  • System Generated Number

  • Cobra SR Number

  • Cobra W/O Number

  • Access Attempts
  • Access acquired?

  • Provide Information:

  • Access Attempts - Dates & Times

  • Add signature

Risk Assessment

  • Any hazard(s) Identified

  • What hazard(s) have been identified?

  • Risk Guidance Assessment Number

  • Task Specific Risk Assessment - Likelihood

  • Task Specific Risk Assessment - Severity

  • Risk - Likelihood x Severity

  • Control Measures

  • Control Measures Required

Works Carried Out

  • Signed into building?

  • Why could you not sign in?

  • Description of works required?

  • Barrack Damage

  • Brief description of the damage.

  • Picture of damage

  • Asset Number if available?

Works Status

  • Works Completed

  • undefined

  • Works not completed?

  • undefined

  • Stock & Materials
  • Part No / PO No.

  • Part Description

  • Qty Used

Asset Condition

  • Condition type:

  • After picture

Signature ( Works Completion Only)

  • Operatives Name

  • Time spent on Job? (Hr / Min)

  • Date & Time

  • Signature

Snr Engineer Signature

  • Name

  • Select date

  • Add signature

  • Note : Before commencing any additional work, contact Supervisor for authority to proceed and enter details on blank worksheet.

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.