Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Date

  • Select date

  • Job Complete ?

Customer Name

Customer Address

Customer Phone Number & Email

Work Address (if different to customer address)

Job Number (if applicable):

Additional Work Requested

Additional Materials Requested/Ordered

I agree that I have instructed George Sanderson LTD through their engineer(s) on site to carry out the additional works as described above. I confirm that I am happy for the additional labour and materials required to complete these further works to be invoiced over and above the originally estimated values

  • Customer's Signature

I confirm that the additional works as described above have been approved by the customer prior to the commencement of these works

  • Engineer's Signature

Additional Information

  • Add drawing

  • Photographic Information

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.