Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

RM Overview Information

  • Specify Site Eng Code(s) Affected.

  • Provide Site Name(s) & Related Addresses

  • TMS Ticket Number(s).

  • JANS Ticket Number(s).

  • Outage Description(s).

  • Date & Time of Call-out(s).

  • Date & Time of Arrival at Site(s).

  • Time Spent on Repairs / Service Restoration (mins).

  • Date & Time of Service Restoration.

Actions Taken and Related Support

  • Details of Work Performed.

  • Additional Comments (Delays, Issues, etc.)?

  • Rigger Used (Y or N) & Specify Which One.

  • Rigger Dispatch & Arrival Information (if applicable).

  • Rigger Performance (Response, Quality of Workmanship, Attitude, etc...) where applicable.

  • Provide any photos pertaining to the outage/call-out.

Inventory Related Information

  • Spare Depot or On-Call Recovery Kit Utilized? Please Specify.

  • Specify What Equipment Was Used From Spare Depot(s) &/or On-Call Recovery Kits.

Follow-Up

  • Is there any additional follow-up required? Provide details.

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.