Title Page

  • Conducted on

  • Prepared by

  • Site address
  • Location
  • add all the areas the report will cover

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

  • Do you have another area you wish to enter on this report?

  • Enter location of the floor/area/room where the works took place.

  • Add pictures of the area

  • Are these works completed as instructed?

  • Enter details of what is outstanding.

  • Enter any other comments?

Sign Off

  • Enter the name of the person you are handing the area back to

  • Enter the position of the person handing the area back to.

  • Does the person above have any comments they wish to add to this report?

  • Enter details here

  • Signature of person above to confirm they are happy with the area/s that have been handed over subject to any comments raised.

  • Enter Date and time when signed

  • Signature of KpH manager

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.