ENGINEERS REPORT

• JOB AUDIT TITLE INCLUDING JOB NUMBER

• CLIENT /SITE

• ENGINEER

• Conducted on

  Date
• Location
  Address

• Prepared by

LIFT DETAILS

• Lift Make / Lift Model and Serial Number

GENERAL

• Review Risk Assessment on Site

  YES

  NO

  N/A

  SEE NOTES

WORK DONE

• Details of Work Done

• Take Photos as Needed

  Media

PARTS / MATERIALS USED

• Details of Parts or Materials Used

• Take Photos as Needed

  Media

FURTHER WORK REQUIRED

• Details of any Further Work Required

• Take Photos as Needed

  Media

PARTS NEEDED

• Details of any Further Parts or Materials Required

• Take Photos as Needed

  Media

JOB STATUS

• Please Enter Job Status

  JOB DONE

  ITEMS TO NOTE

  URGENT ATTENTION

  OUT OF SERVICE

LOG CARD

• Sign and Date Log Card

  YES

  NO

  N/A

  SEE NOTES

NOTES and RECOMMENDATIONS

• NOTES

• RECOMMENDATIONS

• PLEASE TAKE ANY ADDITIONAL PHOTOS IF REQUIRED

  Media

ENGINEERS SIGNATURE

• Engineer - Please Print Name and Sign

  Sign

CUSTOMERS SIGNATURE

• I agree that the above work has been carried out to my satisfaction. Goods have been received in good condition.

• Customers - Please Print Name and Sign

  Sign