Elecomm Engineer Report

• Client:

• Job Number:

• Location:

• Date On Site:

  Date

• Project Description:

• Lead Engineer:

• Other Engineers Onsite:

• Travel Time Start:

  Date

• Travel Time End:

  Date

• Time On Site:

  Date

• Time Off Site:

  Date

Pre-Start Checks

• Materials & Job Pack collected/located and checked?

  Yes

  No

• Method Statement & Risk Assessment read, agreed & signed by all?

  Yes

  No

• Pre-start checks completed as per Method Statement (access equipment inspections, systems, permits etc. completed?

  Yes

  No

Works

• Project detail for each task undertaken onsite are to be populated as per the scope of works / RAMS issued by your Project Manager

• Task One Detail:

• All works completed:

  Yes

  No

  N/a

• Task Two Detail:

• All works completed:

  Yes

  No

  N/a

• Task Three Details:

• All works completed:

  Yes

  No

  N/a

• Task Four Details:

• All works completed:

  Yes

  No

  N/a

• Task Five Details:

• All works completed:

  Yes

  No

  N/a

• Have all tasks been completed as per Method Statement or programme?

  Yes

  No

  N/a

• Issues if tasks not completed

• Possible Resolutions

• Is an additional unplanned revisit required?

  Yes

  No

  N/a

Elecomm Sign Off

• Works tested and labelled?

  Yes

  No

  N/a

• Test sheets complete?

  Yes

  No

  N/a

• Verification evidence (system status, test receipts, photographs)?

  Yes

  No

  N/a

• EPS updated?

  Yes

  No

  N/a

• AFD marked up with updates?

  Yes

  No

  N/a

• Access Equipment Onsite:

  Select Star 10 7M Scissor Lift GR15 No Access Equipment

  • Star 10
  • 7M Scissor Lift
  • GR15
  • No Access Equipment

• Elecomm Representative:

  Sign

• Date & Time:

  Date

Client Sign Off

• Onsite Representative:

  Sign

• Onsite Representative Position:

• Date & Time:

  Date