Information

  • Site Name

  • Location
  • Conducted on

  • Installed by

Equipment Installed

  • Number of Interceptors installed

  • Serial Number's of Interceptors

  • Has training be completed

  • Bypass mode

  • Is the area tidy and cables tied up

  • Please take a picture or work area

  • Did receipt and confirmation receipt print out

  • Please take picture of the both receipts

  • Zapper Employees 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.