Information

Report Details

  • Asset (Station, Location, Pump system, Pump)

  • Job Description

  • J Number

  • Record Created

  • By

Work Assigment

Work Type

  • Work Assigned

  • Please Specify
  • Please Specify

Site Access

  • Access Requirements

  • Tap to enter information
  • Engineering Hours

  • Protection Master

  • Confined Spaces

  • Other

  • Tap to enter information
  • Please Specify

Work Carried Out

Work Details

  • Engineer(s)

  • Date of Works

Statement of Works

  • Please document the work undertaken

Rescources Spent

  • Labour

  • N/A

  • Tap to enter information
  • Personnel

  • Shifts

  • Further Rescources

  • N/A

  • Tap to enter information
  • Please give details

  • Work Complete?

  • Work Status

  • Tap to enter information

Further Work

  • Extra Work Required

  • Extra Materials Required

  • Rescources

  • Shift-by-shift Breakdown of Future Work

  • List activies per shifts as appropriate

Site Access (If different from above)

  • Access Requirements

  • Tap to enter information
  • Engineering Hours

  • Protection

  • Confined Spaces

  • Other

  • Tap to enter information
  • Please Specify

  • Risks at Time of Leaving Site

  • Likelyhood of Further Failures, Flooding, Closures

Site Evidence

  • Photos

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.