Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Store Number

  • Ticket Number

  • Location

Pre-Work Checks

  • Have you Received all Kit Required to Complete Works?

  • Please Provide Details of Missing Kit

  • Have the Projects Team Provided you with all Relevant Information to Complete Works?

  • Please Provide Details

  • Have you Signed in and Notified the Site Manager of the Works to be Carried Out?

  • Please Provide Details

Work Assignment

  • What Works are Being Carried Out? (Copy & Paste Ticket Description)

  • Have the Works Been Completed?

  • Please Provide Details

  • Photo's of Incomplete Works

  • Details of Completed Works

  • Photo's of Completed Works

  • Are there any Outstanding Issues or Tasks?

  • Please Provide Details

  • Will a Revisit be Required?

  • Please Provide Details

Post-Work Checks

  • Is there any IT Equipment being Removed from Site?

  • Please Provide a List of IT Equipment being Removed (Inc. Make, Model & S/N)

  • Is a Kit Collection Required?

  • Please Provide the Location & Photo of Box/es for Collection

  • Dimensions (L x H x W) & Weight (kg) of Each Box

  • Has the Site Manager Confirmed they are Happy with the Works?

  • Please Provide Details

Clean & Tidy Checks

  • Review all IT areas and ensure the store is left clean and tidy.

  • Confirm all cables in cash wrap are neat, tidy and not cable tied too tight.

  • Carry out a quick sweep of the comms room floor, removing big clumps of dust and bits of needless rubbish close to the cabinet.

  • Confirm all cables in cab are neat and tidy.

  • Remove any items left on top of cabinet (floor-standing ones) and either leave tidily in the corner or remove from site.

  • Remove surplus hardware/boxes from site. If you cannot remove, please explain in the comments section below.

  • Query all boxes in the comms room with store systems, and decide together on best course of action. Document in the comments section below.

  • Confirm with store manager if there are any other IT issues you can assist with.

  • Use this section to add IT-related recommendations.

  • Use this section to add any supporting comments to the above checks.

  • Please add photographs of the IT areas showing how the store has been left, include hardware/boxes for removal.

Completion Page

  • Engineer Name

  • Engineer Signature

  • Site Manager Name

  • Site Manager Signature

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.