Title Page

SPC information

  • Name

  • Site

  • Date

  • Time Booked On

  • Time Booked Off

  • Staff On site

  • Additional Staff not captured above ?

  • Provide names ?

  • Visitors ?

  • Provide names who visit site?

End of shif Report

  • Did you receive work instructions ?

  • Task Information ? ( Provide information from work instructions)

  • Tasks Completed ?

  • Reason for not completed taks ?

  • Outstanding works ?

  • Describe outstanding tasks information

  • Describe outstanding task locations

  • Provide photo of completed works

  • Provide detailed information of completed tasks ( Include location)

  • Upload pictures of completed work ( Include location)

  • Any LRNs installation carried out ?

  • Provide LRN assest number in notes and upload picture.

  • Materials used ?

  • What materials have been used

  • Issues / Site Inspection / Complaints / Incidents

  • Provide detailed information regarding Issues / Site Inspection / Complaints / Incidents - Location and full descrpition requeired!

  • Provide pictures regarding issues

  • Did team has been shadowing other team

  • Provide what activity has been carried out?

Signed Documents

  • Do you have picture of PICER ?

  • Tool Box Talk completed via Safety Culture ?

  • Dynamic Risk Assestment completed via Safety Culture ?

  • Ladder Checks completed via Safety Culture

  • Have you conducted any confined space works ?

  • Have you conducted any firestopping works ?

  • Location of firestopping carried out

  • Provide pictures

  • Have you conducted any core hole driling ? ( If yes, need pictures before and after the drilling )

  • Canceled works or access ?

  • Upload picture of Frustrated Access form

  • Any additional Information

  • Provide information

Planned next day works,

  • Do you have plan for next day works ?

  • Location of next day works ( Station )

  • Description of planed work

  • Materials requeired for next day (Not Legrand trunking )

  • List of materials what requeired

  • Fire ISO requiered ?

  • Provide Locations - SID numbers / Room ID

  • Fire Stopping required?

  • Provide Location

  • Provide Room number (SID)

  • Platfrom Protection ( PWT ) required ?

  • Provide Location

  • Provide Station Name

  • Provide Platrom Inforamtion

  • Confined space works requiered ?

  • Provide location ( Station , Platform )

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.