Title Page

  • Conducted on

  • Prepared by

  • Location
  • Type of fault

  • Please State

  • Voltage

  • Equipment in need of painting

  • Please State

  • Number in need of painting

  • Please give details of the defect

  • Include any relevent photographs

  • Any corrective action taken immediately

  • Please state action taken and include photographs

  • What action is required

  • Have you reported the requirements to the relevent authority?

  • Why not?

  • Sign and send report

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