Information

  • Site Name

  • Site Reference Number

  • Customer Reference

  • Panama Reference

  • Date and Time of Visit

  • Site Address
  • Site Contact Name / Position / Contact Number

Job Description

  • Please complete 4G speed test on your phone and screenshot the results (test to be completed whilst in Office)
    We are trying to establish the internet strength in the office - please google: https://www.speedte st.net/ and complete the test by clicking 'GO' button.

  • Photo of Download and Upload Speed

  • Have any Electrical Power works been carried?

  • Photo(s) of Office labelling (OT1, OT2, PC1, PC2)

  • Has/Have Line(s) been installed by BT?

  • Number of Lines installed

  • CLI Numbers

  • Location of Line installation

  • Photo of the above

  • All works completed?

  • Provide Photos of completed works

  • Provide Clear Photo of inside of Cab (clearly showing Shelf / PDU etc.)

  • Have all faults been Reported?

  • Any Additional Comments?

  • Area left Clean & Tidy?

Site Representative Sign Off

  • Was site contacted prior to Engineer attendance?

  • Comments

  • Did the engineer outline Scope of Works?

  • Comments

  • Has the Engineer's area of works been left Clean & Tidy?

  • Comments

  • Are there any issues outstanding On site?

  • Additional Comments:

  • Site Representative Signature

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.