Information

  • File Number

  • Client / Site address

  • Conducted on

  • Attending Engineer

  • Customer Name

  • Site Address
  • Date and Time on

  • Signed on Contact made with customer

  • Survey type

  • Survey site Pictures 1. Entire entrance 2. Entire exit 3. Left handside 4. Right handside 5. Running area (for sliding gates)

  • Draw a Diagram of proposed system, include any safety systems

  • Safety Items required to bring system up to standard

  • Gates present?

  • If gates are already present take safety edge measurement. (If required)

  • Engineer Name and signature

  • Customer Name and signature (if available)

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.