Information

  • Document No.

  • Client / Site

  • Date time on site

  • This is the board worked on.

  • Prepared by

  • Location

Works carried out

  • Isolation Works started

  • Add media

  • Description of work carried out

  • Area of isolation

  • Is isolation complete

Measurements taken at main switch

Signatures

  • Electricians name & signature

  • Customer name & 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.