Title Page

  • Job Number

  • Date

  • Unit Location

  • Building Location

  • Building Name

  • EDF Classification Code (ECS)

  • Prepared By

  • Bylor Engineer Requesting Works

Site Safety Checks

  • Sign on to Daily Brief (DABs) and Work Authorisation Form (WAF)

  • Reason

  • Pre Work Site Inspection

  • Hazards

  • Electronic POWRA Completed

Time

  • Aborted Visit

  • Paul Middleton Travel Hours

  • Paul Middleton Working Hours

  • Sean Williams Travel Hours

  • Sean Williams Working Hours

  • Barry Weyman Travel Hours

  • Barry Weyman Working Hours

  • Samuel Williams Travel Time

  • Samuel Williams Working Hours

Building Riser Extensions

  • Building Riser Number (LTR Number)

  • Length of Extension

  • Exothermic Weld Completed

  • Reason

  • Exothermic Weld Continuity Test Taken

  • Reason

  • Weld Continuity Reading

  • Unit of Measurement

  • Result

  • Reason

Testing Equipment

  • Type of Meter used

Completion of Works

  • Are all Works Completed

  • Comments

  • Signed off POWRA

  • Engineer

  • Signature

  • Bylor Engineer

  • 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.