Title Page

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Overview of work month -

Defect log

  • Any defects


  • Any staff issues or complaints

  • Any staff requests ?

Critical equipment

  • Generators last service date , oil change ?

  • Water makers - last service date , filter change , current capacity

  • Diesel storage levels

  • Gasoline storage levels ?


  • Octagon maintenance up to date ?

  • White House maintenance issues ?

  • Support vessels and tenders all working serviced up to date ?

  • All golf carts serviced , washed and in working order


  • Safety observations .

  • Any safety issues reported ?

  • Add 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.