Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Original Problem.

Work Done.

  • Will the Work be Completed on this Visit?

  • Add media

  • If Not What What Follow up Work is Required?

Feedback Information.

  • Are they dressed in the correct MNI Uniform? NO PLUMBERS BUTT. Or Budha Bellies.

  • Is the Work Area Neat and Tidy?

  • Are The Working Efficiently?

  • Are They Working Safely?

  • Do they have a current I.D for the area they are working in. Was it shown upon arrival?

  • Did They Explain the Work to the Householder?

  • Did They Fill out Their JSA's? Prior to starting work?

Compliance

  • Does the Vehicle have a Fully Charged Fire Extinguisher?

  • Does the Vehicle have an up to date First Aid Kit?

  • Does the Vehicle have a Van Pack?

  • Are their MATERIAL SAFETY DATA SHEETS up to date?

  • Are all Their 240v Tools Tested and Tagged Current?

Performance Rating.

  • Select from range

  • Add signature

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.