Information

  • Job Reference Number

  • Installation date

  • Prepared by

  • Engineer

  • Location
  • Note:- This form is required to help us process this incident and any delay returning it may result in a delaying its conclusion

    Findings Checklist

  • Is any damage evident?

  • Please give details

  • Add media

  • Is the damage found as explained by the claimant?

  • Please give details

  • Add media

  • Can the damage be repaired by HLUK?

  • Please give details

  • Add media

  • Can the damage be repaired by outside contractors?

  • Please give details

  • Add media

  • Is a replacement the only way to rectify the damage?

  • Please give details

  • Add media

  • Can the damage be attributed to the engineer?

  • Please give details

  • Add media

  • Could the engineer have prevented the damage?

  • Please give details

  • Add media

  • Has photographic evidence been taken?

  • Please give details

  • Add media

  • Any other information.

  • Any other pictures

  • Supervisors name

  • 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.