Title Page

  • HydroCare team Member.

  • Auditor.

  • Date of visit.

  • Work Order.

  • Purpose of visit.

  • Reported problem description

  • Reason for visit.

Site Interaction

  • Site protocols followed

  • Protocol not followed and reason why. Action taken. Add notes.

  • Purpose of visit confirmed.

  • Confirming the reason for visit ensures the customers expectations are met.

  • Information up to date

  • If unable to correct ensure review is selected & correct information is recorded in the work notes before submitting.

  • Out come of visit reported to client.

  • This is a vital part of the customer journey. Add notes

  • Detail out come.

Critical Visit Observations.

  • Electrical safety equipment:- All present and functioning and understood. Earth testing <1ohm, insulation testing >20Mohm. Voltage checking, polarity, plug tester, clamp meter. (Used as per RAMS requirements.) add notes.

  • Details of the warning given & how the HydroCare member will rectify the issue.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

  • PPE Use :- Cut gloves used, Heat gloves when required, Safety Glasses, Safety footwear, ear plugs. (Used as per RAMS requirements?) add Notes.

  • Details of the warning given & how the HydroCare member will rectify the issue.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

  • Barrier signs, barrier tape present & used to create safe area of work. (Used as per RAMS requirements?) add notes.

  • Details of the warning given &b how the HydroCare member will rectify the issue.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

  • Property protected, work mat used.

  • Ensure client property is protected from accidental damage.

  • Ladder used correctly

  • Details of the warning given and how the HydroCare member will rectify the issue.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

General Visit Observations. Add Comments where required.

  • Power isolation

  • Detail reason & add to notes and report to client. Attach Photo.

  • Water isolation.

  • Detail reason & add to notes and report to client. Attach Photo.

  • Correct level of service carried out.

  • Detail reason for not completing the service & action to be taken going forward.

  • Boiling water procedures followed.

  • Details of the warning given and how the HydroCare member will rectify the issue.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

  • Product sanitised.

  • Detail reason for not completing & action taken to be taken going forward.

  • Safety solenoid tested.

  • This must be tested on all visits & appropriate action taken.

  • Ventilation sufficient.

  • Educate client and raise HydroCare team lead to quote to rectify. Attach photo.

  • Area left clean & tidy.

  • All waist is to be removed from site as per the company RAMS

  • Work order notes clear. (Model, serial number, location & work performed

  • Detail instructions given to improve recording correct & quality information in work notes.

  • Detail instructions given to improve recording quality information in work notes.

  • SOPs Followed correctly.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

  • Details of the warning given and how the HydroCare member will rectify the issue.

  • RAMS followed

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

  • Details of the warning given and how the HydroCare member will rectify the issue.

  • Revisit must be scheduled to action AT RISK issue, within 1 month. Select date of revisit. Add notes.

Comments and Sign Off.

  • Comments.

  • Signed by Auditor.

  • Signed by HydroCare Member.

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.