Title Page

  • Conducted on

  • Prepared by

Site

  • At what site?<br>

  • Is the equipment still available?

  • Are you able to make safe?

  • Scan the barcode if available

  • Take a photo please! Take more photos if required, get nameplate details of equipment if available and of value.

  • Please detail all you can about this defect to help the WGL and operations staff to effectively manage this defect. The more detailed info will allow more timely response and action.

  • Slide across to select which set number, use 5 for Station or as Other

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.