Mitchells & Butlers JCC V3.0

FULLY COMPLETE THIS SECTION BEFORE WORK COMMENCES

• Contractor

  Select DPP Ltd CF Roberts FME FM FSE Selwyn Group WS Wright Ltd

  • DPP Ltd
  • CF Roberts
  • FME FM
  • FSE
  • Selwyn Group
  • WS Wright Ltd

• Contractor Ref:

• Mitchell's & Butlers Order Number

• House:

• BUN Number:

• Brand:

  Select All Bar One Browns Castle Crown Carvery Ember Harvester Miller & Carter Nicholsons Oaktree O'Neills PCDG Sizzling Toby Carvery Tokyo Tuk Cho VPK Vintage Inn

  • All Bar One
  • Browns
  • Castle
  • Crown Carvery
  • Ember
  • Harvester
  • Miller & Carter
  • Nicholsons
  • Oaktree
  • O'Neills
  • PCDG
  • Sizzling
  • Toby Carvery
  • Tokyo
  • Tuk Cho
  • VPK
  • Vintage Inn

• Date & Time of Call:

  Date

• Call Placed By:

• Problem:

• Response Requested:

  Emergency - P1

  Normal - P2

  Recall

  Planned - P3

• Repair Type:

  Reactive

  PPM

  Referral

• List Nature of Call:

• Arrival on Site:

  Date

• Full Job Description:

Health & Safety Requirements - before work commences, have you and the Duty Manager discussed;

• The Requirements of The Work:

  Yes

  No

• Relevant Health & Safety Precautions and

  Yes

  No

• Inspected The House Asbestos Register:

  Yes

  No

• Job Risk Rating (refer to guidance)

  Cat 1 - Low Risk

  Cat 2 - Medium Risk

  Cat 3 - High Risk

FILLED IN BY CONTRACTOR AFTER WORK IS COMPLETED

• Works Completed:

  Date

• Hours on Site:

• Full Repair:

• Temporary Repair

• AOV: (OR call out charge for no works or abortive call)

• Fixed Price: (for ARS or PPM works)

• Fault Code:

  Select A - Operator Error B - Poor House Keeping C - Vandalism D - Poor Design/Installation E - General Wear & Tear F - Equipment Life Expired G - Aborted Visit H - Recall J - Site Staff Damage L - Lamp Replacement

  • A - Operator Error
  • B - Poor House Keeping
  • C - Vandalism
  • D - Poor Design/Installation
  • E - General Wear & Tear
  • F - Equipment Life Expired
  • G - Aborted Visit
  • H - Recall
  • J - Site Staff Damage
  • L - Lamp Replacement

Time & Materials:

• No of Operatives

• Hours on Site:

• Rate Per Hour:

• Materials Used:

• Plant Used:

• Box A:

• Asset Number:

• Make & Model of Equipment:

• Engineer Signed:

  Sign

COMPLETED BY THE PERSON IN CONTROL OF THE PREMISES

• THE ABOVE WORKS HAVE BEEN COMPLETED TO MY SATISFACTION I hereby request MAB to pay (contractors name)

  Select DPP Ltd CF Roberts FME FM FSE Selwyn Group WS Wright Ltd

  • DPP Ltd
  • CF Roberts
  • FME FM
  • FSE
  • Selwyn Group
  • WS Wright Ltd

• The Sum Of £ (as box "A" above)

• Print Name;

  Sign

• Position Held:

• Reason if Declined To Sign:

• How Do You Rate The Quality & Service:

  Very Poor

  Poor

  Good

  Very Good