Andrew Lafferty

SWG Service

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Conducted on
Prepared by
Location

Untitled Page

Scope
Condition upon arrival
Mold growth
Cup condition
Flag condition
Current speed and roll of surface
Any items addressed outside of regular service
Speed and roll after service
Pictures of completed work

Andrew Lafferty

SWG Service

Use this Template

Print as PDF

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.