Information
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Document No.
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Prepared by
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Job Sheet
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Client / Site
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Conducted on
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Location
Client Information
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Site address
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Site contact name
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Site contact phone
Scheduling and location
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Scheduled arrival time
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UBD map reference
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Leading hand
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Crew
- Edward Dodd
- Colin Mansfield
- Michael Dodd
- Andrew Perryn
- Alex Ralph
- Amy Dodd
- Mary Perryn
- Temp labour
- Temp labour
Pre Start Tool Box Safety Briefing
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Concerns raised
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Corrective action
Signatures of attending staff, contractors and agency employees
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Signature of Leading Hand
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Signature of employee / contractor / agency staff
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Signature of employee / contractor / agency staff
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Signature of employee / contractor / agency staff
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Signature of employee / contractor / agency staff
Scope of Work as Quoted
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Set out and paint
Actual Work Completed
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Work completed in addition to that quoted
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Work not completed (not required)
Work Not Yet Completed
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Was the job completed?
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Unfinished work (still to be done - requires another visit)
Materials Used
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Paint used
Paint
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Paint
- Yellow
- White
- Blue
- Orange
- Black
- Red
- Other colour
Repairs, Maintenance and Restock
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Equipment requiring repair or maintenance
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Equipment requiring replacement
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Equipment requiring cleaning
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Items required to be restocked in the ute
Client Sign Off
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Work has been completed to my satisfaction
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If I have requested additional works to be completed, I hereby authorise these works for the purpose of payment to Line Markers South East Queensland
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Comments
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Signature of Client Representative
Leading Hand Sign Off
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Is the job complete
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Time left site
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Signature of Leading Hand