Title Page

  • Shift Report Number

  • Report Date

  • Prepared by

  • Shift

  • Shift Start Time

  • Shift End Time

  • Handover to Shift

Shift Details

Personnel on Shift

  • Shift Supervisor

  • Technical Officer 1

  • Name

  • Any specific handover comments

  • Comments

  • Technical Officer 2

  • Name

  • Any specific handover comments

  • Comments

  • Scientist

  • Name

  • Any specific handover comments

  • Comments

  • Operator 1

  • Name

  • Any specific handover comments

  • Comments

  • Operator 2

  • Name

  • Any specific handover comments

  • Comments

  • Operator 3

  • Name

  • Any specific handover comments

  • Comments

  • Mechanical Fitter

  • Name

  • Any specific handover comments

  • Comments

  • Electrician

  • Name

  • Any specific handover comments

  • Comments

  • Contractors on site?

  • Company Name

  • Number of personnel

  • Purpose of Site Visit

  • Visitors on site?

  • Name(s)

  • Purpose of Site Visit

Undertakings & Status

  • Shift Outcomes

Equipment Status

  • Status of: Fermentation

  • Status of: Downstream Fermentation

  • Status of: Chemistry

  • Status of: Other Equipment

Deliveries / Collections

  • Any Deliveries Received?

  • Detail Deliveries Received

  • Any Deliveries Planned?

  • Detail Deliveries Planned

  • Any Collections Undertaken?

  • Detail Collections Undertaken

  • Any Collections Planned?

  • Detail Collections Planned

Waste Product Status

  • Current status of Waste Material

  • Is a waste collection required?

  • Has this been organised?

  • Confirm that the responsibility has been defined to organise collection

Issues Encountered

Process Issues

  • Process Issues Encountered - Equipment

  • Detail

  • Process Issues Encountered - Power

  • Detail

  • Process Issues Encountered - Materials

  • Detail

  • Process Issues Encountered - Other

  • Detail

Adverse Events

  • Have any Adverse Events occurred during the Shift?

  • Brief description

  • Confirm that full details have been added to the Adverse Event system

  • Confirm that the situation or issue has be made as safe as practicable

Final Comments & Sign-Off

Any Other Issues

  • Any other issues or points to communicate across shifts

Sign-off

  • Shift Supervisor

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.