Title Page

  • Work Order

  • Job Name

  • Account Holder/ General Contractor

  • Conducted on

  • Site address
  • Prepared by

  • Site Contact Information

  • Account Executive

Site Details

  • What is the Customer's target installation date?

  • What is the estimated delivery date of material?

  • What Equipment is needed?

  • Equipment requirements ( reach, capacity, non-marking tires)

  • Drop off location/ Instructions ( NW corner, at ramp, need escort, inside building, dock height, etc.)

  • Safety Requirements

  • What are the hours of operation onsite?

  • Is hot work being performed?

  • Who will supply permit?

  • Is the jobsite free from obstructions for install?

  • Is the ramp poured?

  • Is there access other than ramp for equipment or deliveries?

  • Is concrete poured in areas of installation?

  • Can we proceed with the installation without removing existing dock/door equipment?

  • Do we need to order a dumpster?

  • Do we need to haul away?

  • Are all positions available at one time?

  • What is the plan for position use?

  • Scope of work

  • Additional notes or comments:

  • List all field supplies needed for entire job

  • Are there any issues limiting or preventing a prompt installation?

Equipment Details

  • Are High Speed Doors being installed?

  • Attach approved drawings, verify clearances, quantity and electrical requirements

  • Does the install require an Electrical Scope?

  • What portion of the electrical is Miner responsible for?

  • What is the Mounting Surface?

  • Any additional field supplies needed?

  • Are sectional doors being installed?

  • Attach approved drawings, verify clearances, quantity and electrical requirements

  • Does the install require an Electrical Scope?

  • What portion of the electrical is Miner responsible for?

  • What is the Mounting Surface?

  • What field supplies are needed?

  • Are coiling doors (including fire rated doors) or grilles being installed?

  • Attach approved submittals, verify clearances, quantity and electrical requirements

  • Does the install require an Electrical Scope?

  • What portion of the electrical is Miner responsible for?

  • What is the Mounting Surface?

  • What field supplies are needed?

  • Are levelers being installed?

  • Attach approved submittals, verify pit dimensions and quantity

  • Does the install require an Electrical Scope?

  • What portion of the electrical is Miner responsible for?

  • What is the Mounting Surface?

  • What field supplies are needed?

  • Are track guards being installed?

  • Verify type and quantity

  • What is the Mounting Surface?

  • What field supplies are needed?

  • Are bumpers being installed?

  • Verify quantity, type and mounting surface

  • What is the Mounting Surface?

  • What field supplies are needed?

  • Other equipment being installed?

  • Attach approved submittals, verify clearances, quantity and electrical requirements

  • Does the install require an Electrical Scope?

  • What portion of the electrical is Miner responsible for?

  • What is the Mounting Surface?

  • What field supplies are needed?

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.