Title Page

  • Engineer name

  • Ses store name / Store number

  • WO NO / Task ID

  • Conducted on

  • If any faults/damage is found please provide the following information, asset/make/model/serial number and photos.

Engineer check list

  • Has engineer signed in / out?

  • Is the engineer wearing the correct PPE.

  • Is all refrigeration equipment asset tagged?

Risk assessment and method statement.

  • Are you aware of the risk assessment and method statement? Found in ibooks.

Space - vents and under cabinet clean

  • Has the kick panel vents been cleaned?

  • Has the debris been cleaned from under the cabinet?

  • Are the kick panel free from damage and in the correct position

  • Are all drain pipes free from damage

  • Are all the kick plates screwed in position ( ones they need screws)

  • Is under the cabinet free from ice

  • Please add photos below.

  • Before

  • After


  • Any other outstanding issues?

  • Add signature

  • Select date

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.