Title Page

  • Prepared by

  • Conducted On

  • Location
  • Project code

  • Engineer Name

Customer interaction

  • Has the engineer showed a valid form of I.D

  • Has the engineer explained the purpose of his visit

  • Has the engineer put on foot overalls to ensure the customer's property is not affected with mud and debris

  • Has the engineer communicated with the customer in a professional manner

  • Were they polite and friendly when closing the conversation?

  • Has the engineer explained they will receive a survey in the post

  • Are dust sheets available and being used

  • Was the customer being aggressive or showing signs of distress

  • Has the engineer asked assistance from the site manager or CLO?

  • Has this been reported to customer care and submitted on to E20

  • Has the engineer explained to the customer they will have to remain off gas due to a internal leak and communicated in a professional manner and explained the next steps

  • If this is a relay, has the engineer explained he will be returning in a day or two to do the transfer to ensure the customer stays home

  • Adittion information

  • Issues noticed

  • Next step

  • Engineer signature (print name and sign)

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.