• Document No.

  • Site Address

  • Job Reference Number

  • Completed

Existing Conditions

  • Please photo and record any aspects of the site that you feel need highlighting before work commences. This can include, but not limited to;

    - Broken or damaged ceiling tiles
    - Broken or damaged hatches / doors
    - Rubbish / mess in risers
    - Broken or damaged paving slabs / bricks

  • Photographs

Sign Off

  • We/I acknowledge the safe system of work provided and will work to the control measures outlined. Where the task deviates significantly from the Safe System provided we/I will raise with Project Manager to authorise.

  • Engineer 1

  • Engineer 2

  • Engineer 3

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.