Title Page

  • Date completed

  • Lead Engineer

  • Station

  • Shift

  • Job Number

  • Time on site

  • Time off site

In scope - Works completed

    Pre clean photos
  • Upload photos per asset and label

  • During photos
  • Upload photos per asset and label

  • Post clean photos
  • Upload photos per asset and label

  • Do any of the in scope assets require additional work?
  • Answer

  • Please add photos and notes

In scope - Works not completed

    In scope - Works not completed
  • Photos of in scope works not completed

  • Reasons why they were not completed

Out of scope Works

  • 'Out of scope' document

  • In the out of scope works section, we have listed any issues which require further works, and recommendations to address this.

  • If you have any questions or would like to discuss further work suggestions, please do not hesitate to contact us.

  • Out of scope works
  • Photos of works needed that are out of scope

  • Reasons why the work is needed

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.