Information

  • Engineer name

  • H.S.A name

  • Customers Address
  • Job Number

  • Conducted on

  • Visit Completed By

Save Process

  • Did installer contact DHM?

  • Has the H.S.A been contacted to discuss issues?

  • Has DHM contacted DSM?

  • Did a manager visit site?

  • Have all ASP's been raised to complete install?

Saved Reason

  • Cause and Reason for Save?

  • Boiler?

  • Asbestos?

  • Flue?

  • Condense?

  • Electrical?

  • System Design?

  • Near Miss Raised?

Sales compliance

  • Paperwork/Specification correct?

Picture section

  • Boiler

  • Asbestos

  • Flue

  • Airing Cupboard

  • Condense

  • Electrical

  • Notes

  • Other

Customer Agreement

  • Changes to job specification

  • Are the changes chargeable?

  • Customers 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.