Information

  • Document No.

  • Job Number:

  • Site Name

  • Conducted on

  • Prepared by

  • Location
  • Picture of the Outside of the Site is required

Site Details

  • What Type of site is this ?

  • What is the Brand of Fuel

  • How Many Pumps are on this site?

  • What other Brands is there on site?

  • Will you be working on any of the additional business ?

  • What Additional businesses are there?

Reason of Site Visit ?

  • Why are you at this site

  • Who Called you Out?

  • Select date

  • What Is the reason of the call out ?

  • What Is the Ticket Number

  • What work is to be carried out on this site ?

  • Companies Invited to the Joint Visit

  • Did all companies attend the JV

  • Who did not Attend?

  • Reason ?

  • The reason of the Joint Visit?

  • Contractors working on the site

Site Investigation

  • What is the Fault that has been reported?

  • Type in your findings

  • Did you need to use any Parts / Materials to complete the job?

  • Add Parts / Materials used

  • Picture required

  • Did you use anything else ?

  • Yes
  • Has any other work been done whilst on site?

  • What else was done on site
  • Exlpain what you have been asked to do or issue you have found

  • Pictures of the issue and result

Next Step

  • Next Step to resolve the issue

  • Next Step

Sign off By Site:

  • Add signature

  • Name:

  • Company

  • Possition

Security

  • Was you asked to Sign in ?

  • Was you asked for ID ?

Managers Office

  • Was Managers office door closed ?

  • Please take pictures of any Security Risks you find for the above

  • Please take pictures of any Security Risks you find for the above

  • In the managers office was any money left out unattended ?

  • Was the safe open?

Counter Area

  • Was the door to the counter area open on arrival to site ?

  • Is there any moneys left about behind the counter or on show?

  • Take a picture

  • Was there any mobile phones in view on or under the counter

  • Please document the phone with use of a picture

  • Do you know who it belongs to ?

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.