Title Page

  • This form is to be completed form site to site throughout the day, team leader is to sign it at the end of the shift and it is to be sent when finished at the factory at the end of the your shift.

  • Conducted on

  • Team (Names)

  • Name of person filling out paperwork.

  • Vehicle registration

  • What time did you leave the factory

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • Did you visit another site?

  • Site number

  • time arrived onsite

  • Time departed from site

  • Who was the driver to this site?

  • Person filling out paper work?

  • Did you complete an install?

  • Did you get a photo?

  • What was done on site?

  • What time did you get back to the factory

  • Did you stop for a meal break

  • From

  • To

  • Did you stop for another meal break

  • From

  • To

  • Did you stop for fuel?

  • Location and time

  • Take a photo of the fuel receipt.

Sing off

  • Has a daily inventory check list been completed?

  • Complete and sign the form

  • Has the Pre work checklist bee completed and signed by the team

  • Complete and sign the form

  • Has all risk assessments been completed and signed by the team?

  • Complete and sign the form

  • Team leader

  • Add signature

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