MakeSafe Report

• Inspection Location
  Address

• Conducted By

  Wolff Energy Solutions

• Date of Inspection

  Date

• Client PO/Job #

• Wolff Energy Solution Job #

• Scope of Works requested

• Photo of Front of Property

  Media

• Inspection completed by

  Select Wayne Woodward Mitch Jackson Blake Edwards Mitchell Moir

  • Wayne Woodward
  • Mitch Jackson
  • Blake Edwards
  • Mitchell Moir

• Phone #

  1300 096 533

• Licence No:

  84879

Inspection

• Client discussion

• Initial Observation

• Area(s) to be MADE SAFE

• Damage

• Cause of Damage

• Action taken

• Next recommended action (if required)

• show damaged area in relation to rest of property (ie image of whole room)

  Media

Before Pic

• Name pic

After Pic

• Name Pic

Harness Evidence

• Has access to roof been required?

  Yes

  No

Covid 19 Compliance Measures

• Was the occupant of the property asked COVID-19 Triage Questions to identify possible COVID-19 risk immediately prior to attending site?

  Yes

• Did the contractor sanitise hands before and after inspection?

  Yes

  No

  N/A

• Did the contractor maintain 1.5metre distance from all occupants?

  Yes

  No

  N/A

• Was the contractor free of Flu-like symptoms before attending the site?

  Yes

  No

  N/A

Report Authority

• Inspection Completed By

  Select Wayne Woodward Mitch Jackson Blake Edwards Mitchell Moir

  • Wayne Woodward
  • Mitch Jackson
  • Blake Edwards
  • Mitchell Moir

• Position

  Electrician

• Company

  Wolff Energy Solutions

• Licence #

  84879

• Date

  Date