Title Page

  • Document No.

  • Client

  • Site name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Please enter the Elog books reference or quote number. Please ring the office if you haven't got a number or reference.

  • Please enter details of works carried out.

  • Please photograph all works carried out.

Machinery, COSHH and Materials

  • What equipment has been used to complete these works?

  • What COSHH related materials have been used to complete these works

  • What materials were used in the completion of these works? e.g. 1 length of knee rail, 1 bird mouth post, 2 straps, nails

  • Are all pieces of equipment in good working order?

  • Please state fault, condition and PAL number of machine

Declaration

Please enter below any other information you deem necessary to report back to the office.

  • Please explain any items you are reporting back

  • Please take photos of the items

  • Client or site managers signature

  • Peter Ashley authorising 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.