Title Page
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Customer Name
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Location
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Time on site
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Prepared by
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Unit Number
Windows/Doors/Shutters
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Describe what work has been carried out in notes & take photos (before & after). Is the work rechargeable (answer Yes/No)
Plumbing (Toilets)
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Describe what work has been carried out in notes & take photos (before & after). Is the work rechargeable (answer Yes/No)
Plumbing (Canteen)
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Describe what work has been carried out in notes & take photos (before & after) . Is the work rechargeable (answer Yes/No)
Electrical issues
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Describe what work has been carried out in notes & take photos (before & after). Is the work rechargeable (answer Yes/No)
Partitions/Cubicles
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Describe what work has been carried out in notes & take photos (before & after) . Is the work rechargeable (answer Yes/No)
Walls/Floor/Ceiling
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Describe what work has been carried out in notes & take photos (before & after). Is the work rechargeable (answer Yes/No)
Mobile Units
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Describe what work has been carried out in notes & take photos (before & after) . Is the work rechargeable (answer Yes/No)
Water Cubes, Water Bowsers, Fuel Cubes
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Describe what work has been carried out in notes & take photos (before & after) . Is the work rechargeable (answer Yes/No)
Advisories
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Have any damages or any potential damages been seen on site. If yes please inform the customer what has been found.
Declaration
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Fitters Name
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Is a site representative on site
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Customer name (By signing this you agree that any repairs have been completed to a satisfactory standard)
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Is a revisit needed
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Time off site
