Title Page

  • Customer

  • Conducted on

  • Prepared by

  • Location
  • Job number
  • Job start

  • Job finish

  • How many machines/ zones have been completed?

  • Briefly describe the work completed eg. PUWER upgrades etc...

System handover

    MACHINE/ ZONE
  • Machine name/ reference

  • Machine Serial no.

  • Describe the work completed

  • What new devices/ equipment has been installed, detail quantites and descriptions eg, interlocks, emergency stops etc.

  • Have all of these been individually demonstrated working to the site contact?

  • Does the work completed satisfy the orignal scope given? If not, detail why.

  • Is the original job scope completed in full?

  • Has the equipment been left in a safe condition to run?

  • Are all necessary earthing points grounded correctly? Check continuity with main incoming earth.

  • Are all new cables installed secured and contained correctly in a manor which will not cause any further problems?

  • Has the new panel been wiped down and cleaned out?

  • Has the area been cleared of all waste created by installation?

  • Has the above been demonstrated and explained to a competetant site contact?

  • By signing for the above information the site contact accepts and agrees with the information provided in this report.

  • To ADD another machine to the report select the "+" icon.

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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.