sr1

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and time inc travel time.

  Date

• Quote No

• Job No

• Order No

• Site

Site Specific Risk Assessment. ( To be completed before commencing )

• Lifting

  Safe

  At Risk

  N/A

• Height

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

• Temperature

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Confined Spaces

  Safe

  At Risk

  N/A

• Falling objects

  Safe

  At Risk

  N/A

• Slip Trip etc

  Safe

  At Risk

  N/A

PPE

• Hard Hat

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• Ear Defenders

  Yes

  No

  N/A

• Mask

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Suit

  Yes

  No

  N/A

• Safety Harness

  Yes

  No

  N/A

• Boots

  Yes

  No

  N/A

Control Measures

• Electrical

  Yes

  No

  N/A

• Mechanical

  Yes

  No

  N/A

• Spotter

  Yes

  No

  N/A

• Chemical

  Yes

  No

  N/A

• Radiation

  Yes

  No

  N/A

• Barricades

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Traffic Control

  Yes

  No

  N/A

Risk Assessment

• Risk Assessment Notes

• Engineers Signature

  Sign

Service Performed

• Service Performed

  Select Fire Alarm Sprinklers Portables Emergency Lighting Special Hazards Hydrants Pump Sets Fire Doors Other

  • Fire Alarm
  • Sprinklers
  • Portables
  • Emergency Lighting
  • Special Hazards
  • Hydrants
  • Pump Sets
  • Fire Doors
  • Other

Service Notes

• Service Notes

• Add media

  Media

• Job Complete

  Yes

  No

• Further Action

  Yes

  No

• Client Advised

  Yes

  No

Items Requiring Further Action / Recommendation

• Notes

• Add media

  Media

• Budget Estimate ( Plus GST )

• Client Acceptance

  Yes

  No

• Client Signature ( Re Acceptance )

  Sign

Labour

• Tech Name

  Select James Warwick Lee Ryan S Sharni Ty Tom Ryan H Joel Niko Drew Aaron

  • James
  • Warwick
  • Lee
  • Ryan S
  • Sharni
  • Ty
  • Tom
  • Ryan H
  • Joel
  • Niko
  • Drew
  • Aaron

• Tech Name

  Select James Warwick Lee Ryan S Sharni Ty Tom Ryan H Joel Niko Drew Aaron

  • James
  • Warwick
  • Lee
  • Ryan S
  • Sharni
  • Ty
  • Tom
  • Ryan H
  • Joel
  • Niko
  • Drew
  • Aaron

• After Hours Callout

  Yes

  No

• Total Normal Hours

• Total Time & Half

• Total Double Time

• Total Travel Time

• Total Hours

Parts / Materials used / Plant Used

• Notes inc Qty

Technician: This work has been completed as per relevant Australian Standards.

• Technician Signature

  Sign

• Date

  Date

Clients Approval Of Work: This work has been completed to my satisfaction and I agree to accept the resulting charges.

• Clients Signature

  Sign

• Date

  Date