• Chorus ID:

  • Address:

  • Date Completed:

  • Technician Name:

  • Description of work done including Trouble reported and test result

  • Attach photos of fault location and fault repaired

  • What code has been claimed?

  • Were there any issues? If so, how did you deal with them? Type out description:

  • Advise test instruments used: (faultmen's test set, RFL, TDR, etc)

  • Which forms has been filled out?: (PDR, CNA, NVF, etc)

  • Skills and knowledge applied on this job: (select from drop-down)

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.