Information

  • Work Order Number

  • Gang Name Number

  • full Address

  • Conducted on

Details

  • Date & Time

  • Land Classification

  • Type of Work

  • Surface type

  • Take Condition photographs of patch before any work commences.

  • Open meter lid and take photo of meter face

  • Take completed job photo

  • Take final wide street view photo after wash down and site has been cleared

  • Location of new meter box ( e.g. Footway, verge)

  • Input box distance & direction from any clearly visible structures ( ie 500 from boundary wall, LHS of brick pier )

  • Surface Reinstatement

  • Job completed

  • Comment / Reason why not completed

  • Gang Name & Signature

  • Add media

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.