Title Page

  • Tesco Store Name + Number

  • Work Order Number

  • Prepared by

Signing In / Logging On

  • Have you logged in to Verisae Mobile?

  • Have you signed in with store?

  • Have you completed the authorisation to work slip (Duty Manager must have signed prior to works starting)?

  • If required, have you completed a Permit to Work?

  • Have you checked the Asbestos register?

Health & Safety

  • Have you completed a dynamic risk assessment?

  • Has the work area been cordoned off?

Call Out Issue

  • Explain the damage or defect upon arrival to site

  • Image of damage / defect upon arrival.

  • Additional images of damage / defect.

Works Carried Out

  • Have you made the issue safe / fixed the issue?

  • Image of make safe / fix.

  • Have you left the work area clean & tidy?

Additional Work Required

  • What additional works are required, explain in a short paragraph what works need to be complete?

  • Measurements? (Please advise any measurements required in order to quote the additional works, i.e door size, working heights, square meterage etc.)

  • Impact to store? (loss of trading etc) (What impact is the current issue having on the store if any?)

Job Completion

  • Have you got a completed authorisation to work slip signed by the Duty Manager?

  • Have you completed the permit to work sign off if it was required to start work?

  • Have you signed out of the store?

  • Signature from a duty manager advising they are happy with the work carried out / how the area has been left?

  • Have you updated the job on Verisae Mobile?

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.