Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Customer Information

  • Customer name

  • Site location

  • Department

Times on site

  • Monday arrive

  • Monday depart

  • Any hotel or other expenses

  • Tuesday arrive

  • Tuesday depart

  • Any hotel or other expenses

  • Wednesday arrive

  • Wednesday depart

  • Any hotel or other expenses

  • Thursday arrive

  • Thursday depart

  • Any hotel or other expenses

  • Friday arrive

  • Friday depart

  • Any hotel or other expenses

Equipment information

  • Machine make

  • Machine model

  • Machine serial number

  • Asset number

Visit Detail

  • Reason for visit

  • Commercial detail

Parts

  • We're any parts used during the visit? If so please list them with part numbers, descriptions and quantities

  • Are any parts required following your visit? Please detail providing part numbers, descriptions, photos if applicable and quantities

Visit Summary

  • Summary and any recommendations

  • Any photos to support findings or recommendations

  • Any drawings or sketches to support findings or recommendations

  • Is a return visit required?

  • Is a quotation required for additional items/work?

  • Sychem Engineer

  • Customer Authorised Person

Office Use Only

  • Parts Total

  • Total Travel Time (Hours)

  • Total Labour (Hours)

  • Call Out Fee

  • First Hour Charge

  • Subsequent Hour Charge

  • Over Night Expenses

  • Misc

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.