Contractor Work Sheet

• ModusLink Kildare Facilities Contractor Signoff

• Conducted on

  Date

• Contractor Details

  24/7

  Tom Harris

  Writech

• If Other, enter details

• All sections to be completed. Where appropriate take photos / enter comments.

1.0 - Work description

• 1.1 - Please describe work performed:

• 1.1.1 - Reason for contractor visit:

• 1.1.1.1 Job Number (if applicable)

• 1.1.2 - Work Performed:

• 1.1.2.1 Take picture if appropriate

  Media

• 1.2 Has work been completed?

  Yes

  No

  N/A

• 1.3 Is everything in safe working order?

  Yes

  No

  N/A

2.0 Contractor Sign Off

• 2.1 Comments

• 2.2 Signature

  Drawing

• 2.3 Contractor Initials

• Select date

  Date