Title Page

  • Distribution description

  • Conducted on

  • Prepared by

  • Visit Number

  • Postcode

Faceplates

  • Faceplate (Front)

  • Faceplate (Back) - DO NOT REMOVE IF ANY POWER IS ATTACHED

  • Cables attached to back of Faceplate

Distribution system

  • Distribution System

  • If Other Give Details

  • Distribution system

Sky Equipment

  • What Sky Equipment was connected?

  • If Q - Were There Any Issues?

  • What was the resolution?

  • Any Other Comments?

  • Additional Images

  • Name

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.