Title Page

  • Site Name

  • Client

  • Site No

  • Conducted on

  • Prepared by

Pre-Start Check List - Section 1

  • Gas on site

  • Nitrogen on site

  • Labour on site

  • Lifters & mobile pop ups on site

Pre-Start check list - Section 2

  • Hot works permit agreed and signed

  • Working at height permit received

  • Roof access permit received

  • Fire alarms isolated

  • Refrigeration alarms isolated

  • Time work commenced

Post Works Check List - Section 1

  • Fire watch complete

  • Hot works permit signed off

  • Roof access permit signed off

  • Working at heights permit signed off

Post Works Check List - Section 2

  • Access equipment safely stored in yard.

  • All cylinders stored securely

  • Gas level checked

  • Cases and coldstores checked

Post Works Check List - Section 3

  • Materials use (Please List)

  • Nitrogen used

  • Co2 used

  • PED - Pass or Fail

  • Time works complete

Additional Information

  • Next Day visit completed

  • Completion email sent to account manager

  • Photos

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.