Title Page

  • Site Name

  • Location
  • Date

  • Start Time

  • Site Arrival Time

  • Site Departure Time

  • Engineer Attending

  • Contractor Name and Number

  • Job Description

Job Description

Reason for Visit

  • Job Description

  • Basic Parameters & Light level
  • Type of area?

  • Describe Area

  • Time delay

  • Secondary Level

  • If Vacant

  • Bright out

  • Presence, Inactive or Only off

  • Lux Level

  • Are all light levels complete?

  • Upon completion please send your drawings to admin.

  • Parts replaced.
  • Luminaire description and Part Number.

  • Description of fault

  • Parts replaced if any?

  • Does the contractor need to be made aware of the fault

  • Please explain why?

  • Building Number

  • Channel Number

  • Quantity of Groups

  • Type of Commissioning

  • Basic Parameters & Light Levels
  • Type of Area

  • Describe Area

  • Time Delay

  • Secondary Level

  • If Vacant

  • Bright out

  • Presence, Inactive or Only off

  • Lux Level

  • Are Light Levels Complete?

  • Upon completion please send your drawings to admin.

  • Parts replaced.
  • Luminaire description and Part Number.

  • Description of fault

  • Parts replaced if any?

  • Does the contractor need to be made aware of the fault

  • Please explain why?

  • Gateway Name

  • Building Number

  • Channel Number

  • Quantity of Groups

  • EM Devices

  • Smart Devices

  • Smart/Em Devices

  • Air Quality Sensors

  • Total Devices

  • Type of Commissioning

  • Basic Parameters & Light Levels
  • Type of Area

  • Describe Area

  • Time Delay

  • Secondary Level

  • If Vacant

  • Bright out

  • Presence, inactive or Only off

  • Lux Level

  • Are Light Levels Complete?

  • Upon completion please send your drawings to admin.

  • Parts replaced.
  • Luminaire description and Part Number.

  • Description of fault

  • Parts replaced if any?

  • Does the contractor need to be made aware of the fault

  • Please explain why?

  • Panel Name

  • Zone Name and how Quantity of Devices

  • Total Devices

  • Parts replaced.
  • Luminaire description and Part Number.

  • Description of fault

  • Parts replaced if any?

  • Does the contractor need to be made aware of the fault

  • Please explain why?

  • Faults
  • Part Number of the fitting

  • MO Number

  • Parts replaced

  • Faults
  • Gateway Name

  • UDID

  • Luminaire description and part number

  • Description of fault

  • Parts replaced

  • Notes been made on gateway

  • Describe

  • Full Report

  • Total Number of Batteries replaced

  • Faults
  • Part Number of the fitting

  • MO Number

  • Parts replaced

  • Full report

  • Has the website been left green?

  • Please add a screen shot of the website.

  • Explain why

  • Total Number of Batteries replaced

  • List of Faults and Parts used

  • Faults
  • Gateway Name

  • UDID

  • Luminaire description and part number

  • Description of fault

  • Parts replaced

  • Notes been made on gateway

  • Describe

Issues Found on site

  • Additional Infomation

  • Is a Re-Visit required?

Sign Off

  • Engineer Signature

  • Engineer Email Address

  • Site Contact Signature

  • Email Address

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.