Rich Curtis

ENGINEER FEEDBACK FORM V2

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

ORIGINAL ENGINEER
Date of original visit
Date of latest visit
Job number

What type of revisit is this?
- 7 Day
- 30 Day
- 90 Day

IF THIS REVISIT COULD HAVE BEEN AVOIDED PLEASE LEAVE FEEDBACK & PHOTO'S HERE

Add media

THIS VISIT COULD NOT HAVE BEEN PREVENTED BY THE ORIGINAL ENGINEER BECAUSE:

Add media
PLEASE SEND A COPY OF THIS COMPLETED FORM TO YOUR TEAM MANAGER. THIS FEEDBACK WILL REMAIN ANONYMOUS
PLEASE PROVIDE A SCREENSHOT OF YOUR COMPLETED JOB HIGHLIGHTING START TIME TO FINISH TIME

Rich Curtis

ENGINEER FEEDBACK FORM V2

Use this Template

Print as PDF

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.