Information

  • Document No.

  • Job No.

  • Client / Site

  • Reporting Date

  • Prepared by

  • Location

PROJECT DETAILS

  • Project Type

  • Other Type

  • Scope - description of works

  • Duration of project

LABOUR ALLOCATION

  • Supervisor

  • Team Members

  • Name/s of employee/s not in list

  • Were there any team members from other companies?

  • Enter names of other team members, their employer company and hours worked if different to the team.

  • Enter the ACTUAL START and ACTUAL FINISH times below.
    Note: the payroll or charge out hours may vary to actual hours worked.

  • Start time

  • Finish time

  • Number of ONE Hour breaks

  • Number of HALF Hour breaks

  • ORDINARY HOURS DAY: Select all that apply

  • Did work stop work due to inclement weather?

  • How many inclement weather hours?

  • How many inclement weather hours worked?

  • Hours for ISSUE / STOPPAGE?

  • Reason for stoppage:

  • Other details

  • WORKERS WITH DIFFERENT HOURS

  • Worker
  • Worker's name

  • Enter the ACTUAL START and FINISH times below.
    Note the payroll or charge out hours may vary to actual.

  • Start time

  • Finish time

  • Number of ONE Hour breaks

  • Number of HALF Hour breaks

  • For what OTHER REASON was it not an ordinary day?

  • Were there any hours worked in MASKS?

  • How many ACTUAL hours in mask?

  • Did anyone wear a mask for ACTUAL hours different to the rest of the team?

  • Select names of workers with different hours in mask

  • Name of person with different ACTUAL hours in mask.

  • How many ACTUAL hours for workers different to team hours in mask

  • Did any workers take a leave day

  • Worker on Leave
  • Name of worker on leave

  • Leave type

  • Leave hours

HIRE

  • Was there any new hire equipment ON HIRED today?

  • ON HIRE

  • Hire Company
  • Company Name

  • Other Hire company

  • ON HIRE: select all that apply

  • Other plant details:

  • Was any hire equipment OFF HIRED today?

  • OFF HIRE

  • Hire Company
  • Company Name

  • Other Hire company

  • OFF HIRE: (select all that apply)

  • Other plant details:

OTHER EQUIPMENT (Neg Air pressure gauge reporting OR Rates Jobs)

  • Were Neg Air Units used?

  • Photos of neg air pressure gauges

  • Check this box if there was NO DROP IN PRESSURE from previous reading

  • Record details of pressure change (if applicable)

  • Is this a Rates job?

  • Other equipment (tap all that apply)

  • Neg Air Unit
  • Neg Air Asset #

  • Hours used

  • HEPA Vac Unit

  • HEPA Vac
  • Vac Asset #

  • Hours Used

  • Other equipment description & hours used.

DISPOSAL

  • Were there any bins or trucks DELIVERED to site today?

  • Bins or trucks

  • Bin Disposal Type (select all that apply)

  • Asbestos Bin size

  • Other bin size

  • Asbestos Bin Quantity

  • General Bin size

  • Other bin size

  • General Bin Quantity

  • Recycle Bin size

  • Other bin size

  • Recycle Bin Quantity

  • Truck Disposal Type (select all that apply)

  • Asbestos Truck / Dog?

  • Asbestos Truck Quantity

  • General Truck / Dog?

  • General Truck Quantity

  • Recycle Truck / Dog?

  • Recycle Truck Quantity

  • Were any trailer loads, bins or trucks REMOVED from site today?

  • Trailer loads, Bins or trucks?

  • Trailer Disposal Type (select all that apply)

  • Asbestos Trailer Load Quantity

  • General Trailer Load Quantity

  • Recycle Trailer Load Quantity

  • Bin Disposal Type (select all that apply)

  • Asbestos Bin size

  • Other bin size

  • Asbestos Bin Quantity

  • General Bin size

  • Other bin size

  • General Bin Quantity

  • Recycle Bin size

  • Other bin size

  • Recycle Bin Quantity

  • Truck Disposal Type (select all that apply)

  • Asbestos Truck / Dog?

  • Asbestos Truck Quantity

  • General Truck / Dog?

  • General Truck Quantity

  • Recycle Truck / Dog?

  • Recycle Truck Quantity

CONSUMABLES (Rates jobs only)

  • Were any consumables used on site that need to be recorded

  • Consumables

  • Consumable
  • Select item

  • Other item

  • Qty

PROGRESS PHOTOS

  • Take a photo or 2 of the progress of the job

Sign Off

  • Supervisor Sign Off

  • CLIENT REPRESENTATIVE SIGN OFF:
    In signing here the client representative agrees that verbal or written site instructions have been issued.

  • Client Representative Sign Off

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.