Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Defective Plant and Equipment Details

  • 1. Provide short description of a plant or equipment including serial number or asset tag

  • 2. Location of defective plant or equipment
  • 3. Describe the fault of a plant or equipment

  • 4. Has the equipment been tagged as out of work or defective

  • Please attach the photo of a tag for reference

  • 5. Name of the person who isolated equipment

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