Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Is the worksite safe to carry out the task.

  • Is there any existing conditions that need to be noted before commencing work ie damage to property? If yes please capture photograph.

  • Pole Address
  • Pole Pick ID

  • Job type.

  • Before photo of job.

  • After job completion photo.

  • Any relevant photos for this worksite must be added here.

  • Was any civil works carried out?

  • If so please enter what was done including measurements.

  • Was any Electrical works carried out ?

  • If so please enter details stating number of joints etc if applicable.

  • Team leader sign off after job completion.

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.