Anonymous

Service Report

Test and Tag / Emergency Lighting / Safety Switch

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Information

Audit Title
Service Report
This is confirmation that the following service was completed at the above mentioned KFC Restaurant and that all repairs as a result of the service are completed.
Document No.
Date Testing Conducted
Restaurant Number
Restaurant Name
Serviceman
Ticket Number

Test and Tag

Details entered into Electrical Equipment Log Book
Photo of an issued tag/ relevant photos

Emergency Lighting

6 Months
12 Months
Details Entered into Electrical Equipment Log Book

Safety Switch

Tripped at 30mA or less

Earthing - 12 Months Only

All Equipment, Outlets and Fittings are Earthed in accordance with Australian Standard 3000
Serviceman Signature

Anonymous

Service Report

Test and Tag / Emergency Lighting / Safety Switch

Use this Template

Print as PDF

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.