Title Page

  • Site name

  • Conducted on

  • Prepared by

  • Location
  • Site arrival time

  • Task

  • Risk

  • Hazard

  • Containment Method

  • I confirm that I have read and understand the details above and I authorise the work to proceed

Router possition and cables connected

  • Location of router

  • Cables connected

  • Start time

  • End time

  • Close time

  • Open time

Cables and switches used

  • Have any switches been installed?

  • Make

  • Model

  • S/N

  • Location

  • 0.5m

  • 1.0m

  • 1.5m

  • 2.0m

  • 3.0m

  • 5.0m

  • 10.0m

  • Bespoke cables

Testing

Pos 1

  • Visa / Mastercard

  • Routex

  • Nectar

  • Amex

  • Allstar

  • Keyfuels

  • UK Fules

Pos 1 night pay

  • Visa / Mastercard

  • Routex

  • Nectar

  • Amex

  • Allstar

  • Keyfuels

  • UK Fules

Pos 2

  • Visa / Mastercard

  • Routex

  • Nectar

  • Amex

  • Allstar

  • Keyfuels

  • UK Fuels

Pos 3

  • Visa / Mastercard

  • Routex

  • Nectar

  • Amex

  • Allstar

  • Keyfuels

  • UK Fuels

Sign off

Sign off

  • Engineer name

  • Managers name

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.