Title Page
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Client Name
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Job Number
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Engineers Names
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Client Address
Duration
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Start Time
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Finish Time
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Travel Time (hrs)
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Breaks (hrs)
Toolbox Talk
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Was a toolbox talk completed before the job started?
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Were there any concerns raised by team members or other parties?
Details of work carried out
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Give detailed information on the work carried out
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Were there any materials required for the job?
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Were any materials supplied from the van or yard?
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List the materials used for the job
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Supplier Delivery Notes
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Add photos of the work carried out
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Details of materials required for future visit
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Further visit required
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Was the job site left clean and tidy?
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Have all isolations and LOTO’s been removed?
Signatures
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Engineer’s Signature
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Client’s Signature
