Title Page

  • Job number

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Pre checks

  • Have you and other contractors signed in? Please add photo of signing in book

  • Add photo

  • Have you logged onto Verisae?

  • Have you taken a print out of cabinet status before clean? Add photo of print out or screen.

  • Add photo

  • Have you isolated all cabinets that are to be worked on from the alarm panel?

  • Have store emptied cabinets prior to our attendance?

  • Have you checked operation of cases prior to clean to see if any probes are faulty? Please list down issues identified.

  • Are contractors all working safely, using barriers and PPE?

  • Add photo

Case clean

  • Individual cabinet clean details

  • Cabinet

Cabinet info

  • Cabinet number

  • Pre clean photo

  • Have you electrically isolated the case in order for the case clean team to work safely on the it?

  • Have you leak tested case?

  • Have back panels and honeycombs been removed and cleaned?

  • Have drains been vac'd out back to main drain?

  • If condensate pumps are fitted have they been cleaned out and tested?

  • Have drain clean tablets been added to case post clean?

  • If kick plate fans are fitted have these been cleaned (both sides)?

  • List of issues resolved on cabinet

  • Post clean photo

Post clean checks

  • Are all cases down to temp?<br>

  • Add photo of print out or screen shot

  • Have all cases been reinstated on alarm panel?

  • Have contractors left shop floor in a clean tidy state free from water and all kick plates secure?

  • Add photo of shop floor

  • Have you logged off of Verisae? Pause if it still has more visits, complete if it's the last visit.

Sign off

  • Engineer signature

  • Store manager signature

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.