HTS Quality Team 004 Sub-contractor Customer / Damage Complaint

• Hills Technical Services Customer / Damage Complaint V.5
  https://public-library.safetyculture.io/products/hcs-quality-team-004-sub-contractor-customer-damage-complaint

• Conducted on

  Date

• Work Order:

• Contractors Name:

• HTS Expectations:
  
  It is a WHS requirement that a Risk Assessment is completed for every task, this is done before a job is started.
  This will be separate to any site specific inductions that may be required.
  The subcontractor will complete the audit in full and all evidence that is collected such as photos and comments made by customers will be documented.
  

Inspectors Risk Assessment

• Hazards

  Select Working at Height Working from Ladder Working Enclosed space Working in Public Bad weather conditions Hazardous Materials Working from EWP

  • Working at Height
  • Working from Ladder
  • Working Enclosed space
  • Working in Public
  • Bad weather conditions
  • Hazardous Materials
  • Working from EWP

• Controls

  Select Ladder Secured Harness Secured Anchor point Used Safety rope used Safety Barrier Used Exclusion Zone Created PPE used

  • Ladder Secured
  • Harness Secured
  • Anchor point Used
  • Safety rope used
  • Safety Barrier Used
  • Exclusion Zone Created
  • PPE used

• Residual Risk Level

  Low

  Medium

  High

  Extreme

• Add signature

  Sign

Customer Details

• Complainants Name:

• Contact Number:

• Email Address:

• Inspection Date

  Date

• Inspectors Name & ID:

• Add location
  Address

Site Inspection:

• Purpose for site visit?

  Select Site Inspection Approve repairs Meet third party repairer

  • Site Inspection
  • Approve repairs
  • Meet third party repairer

Damage / Customer Complaint:

• Damage / Customer Complaint Description

  Select Water Damage Roof Damage Property Damage Plasterboard Damage Possession Damage Cable Location Equipment Location

  • Water Damage
  • Roof Damage
  • Property Damage
  • Plasterboard Damage
  • Possession Damage
  • Cable Location
  • Equipment Location

• Detailed Description of Damage or Complaint

• What is the extent of the Damage / Complaint?

  Select Minor Damage Major Damage Severe Damage

  • Minor Damage
  • Major Damage
  • Severe Damage

• List possible causes of the damage or complaint?

• Location where Damage / Complaint has occurred?

  Select External Roof Damage External Siding Damage Internal plasterboard Damage Study Room Internal Living Area Lounge Room Garage Workshop Outdoor Living Area

  • External Roof Damage
  • External Siding Damage
  • Internal plasterboard Damage
  • Study Room
  • Internal Living Area
  • Lounge Room
  • Garage Workshop
  • Outdoor Living Area

• Provide Photos of the Damage / Complaint, show damage, location and any other useful information relating to the damage / complaint (Mandatory)

  Media

• Was the Damage / Complaint caused by the Installation?

  Yes

  No

• How was the Damage / Complaint caused?

• What caused the Damage / Complaint?

Resolution:

• Is the customer satisfied with the outcome of the Inspection?

  Yes

  No

• What is the customer not Satisfied with?

• Has the customer agreed to a Resolution?

  Yes

  No

• What actions need to be completed to get the customer to agree to a resolution

• What Resolution has the customer agreed to?

• Have you provided the customer a Deed of Release and have they signed?

  Yes

  No

• Picture of signed DOR

  Media

• Have you emailed a copy of the Inspection to the customer?

  Yes

  No

• Will an Insurance Claim be made?

  Yes

  No

• List your comments below ( Mandatory )

Sign-Off

• Contractors Signature:

  Sign

• Complainants Signature:

  Sign