Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Work Order Number

Untitled Page

Safety Guidelines

  • Schedule outage with operating personnel

  • Block traffic and set up alternate security measures

  • Perform applicable lockout/tagout steps of site safety procedures

  • Record and report any equipment damage or deficiencies

  • Review and follow manufacturer's O&M instructions

  • Record results in the equipment maintenance log

  • Use extreme caution around moving gates and barriers. Moving gates can cause fatal injuries

Maintenance Procedures

  • Raise/lower the bollars and visually inspect for deficiencies. Verify no abnormal noise or binding

  • Identify any abnormalities and submit a work order for repair

Maintenance Hours

  • Estimated time spent on work order?

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.