Title Page

  • Conducted on

  • Reference

  • Address
  • CRM Task

  • Work performed after hours?

SAFETY

  • Tool Box Meeting Recorded

  • Risk Assessment Number

  • Risk Assessment Completed

  • Service

  • Comments

  • Information Required

SEWER

  • Type

  • Cause

  • Further Action

  • Further Action Status

  • Estimated number of properties affected

  • Information Required

WATER MAIN BREAK

  • Size

  • Other Size please specify

  • Type

  • Problem

  • Other please specify

  • Repair Method

  • Time Shut Off

  • Time Restored

  • Estimated number of properties affected

CLOSING INFORMATION

  • Time Job Completed

  • Date Job Completed

  • Number of Staff

  • Customer notified

  • Contact Centre Notified

  • Charge to property

  • NO further Action

  • Comments

  • Actions recommended

  • Officer

  • Mobile

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.