Information

  • Job Number

  • Customer Name

  • Date Of Job

Customer Details

  • Location
  • Customer Division

  • Customer Purchase Order Number

Job Description

  • Brief Description Of Work?

  • Type Of Job?

Description Of Work Completed

  • Description of work completed

  • Task
  • Plant ID Number?

  • Detailed Report

  • Any Recommendations?

  • Any Materials Used?

  • Is The Equipment Safe To Use?

  • If The Answer Is No Please Make Comments, and fill out a serious defect pad

  • Sketch

  • Photo

  • Description Of Work Completed Split Into Task With Times

  • Task
  • Plant ID Number? (Also ensure field ID is completed)

  • Detailed Report

  • Any Recommendations?

  • Any Materials Used?

  • Is The Equipment Safe To Use?

  • If Not Please Make Comments, and fill out a serious defect pad

  • Is This Task Complete?

  • If The Task Is Not Done Please Make Comments What Is Required To Complete?

  • Task Type?

  • Sketch

  • Photo

  • Hours (all engineers hours combined)

  • Engineer
  • Engineer Name(s) (can duplicate if other engineers have done the same hours)

  • Engineer Name (manual input, if not listed above)

  • Day

  • Date

  • Basic Rate

  • Rate A

  • Rate B

  • Rate Manual Input

Grand Total Hours

Grand Total Hours (all engineers hours combined)

  • Hours

  • Engineer
  • Engineer Name(s) (can duplicate if other engineers have done the same hours)

  • Engineer Name (manual input, if not listed above)

  • Day

  • Date

  • Basic Rate

  • Rate A

  • Rate B

  • Rate Manual Input

Stoppages

Stoppages Caused By Client (these are not in addition to the above hours)

  • Hours

  • Engineer
  • Engineer Name (s)

  • Engineers Name (manual input)

  • Day

  • Date

  • Basic Rate

  • Rate A

  • Rate B

  • Reason for stoppages?

  • Plant Id

Signatures

Signatures

  • Clients Signature

  • I am satisfied with the work that has been completed by the above engineers, and I have read the company terms and conditions where I have no concerns.

  • Engineers Signature

  • I have functionally checked all the equipment before leaving site and I have left everything safe. I have also made the client aware of any defects that may be present. (If any defects are present please state the equipment that is not safe to operate, giving reasons in the report)

  • Any Comments

  • Is This Job Complete?

  • Has ACDC MEWP been used?<br>

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.