Title Page

  • Reference No.

  • Customer

  • Location

  • Contact & Telephone No.

  • Registration

  • Fault as reported

  • Instructions to Engineer

  • Date Fault reported

  • Fault logged by

Engineers Worksheet

On-Site Worksheet

  • Engineers Name

  • Date/time of Visit

  • Is interior clean?

  • Take a photo

  • Any marks/damage?

  • Enter details

  • Any warning lights on dashboard?

  • Take photo

  • Any other issues?

  • Please describe issue

  • CCTV Manufacturer

  • CCTV Model

  • No. of Cameras

  • Other Equipment - please detail

Actions Taken

  • Fault Found

  • Action taken

  • Repair complete

  • Enter reason it was not completed

  • Explain why not

  • System Operational

  • Travel Time

  • Wait Time

  • Repair Time

  • Cameras Replaced

  • DVR Replaced

  • Other equipment replaced or installed

  • Photo of all camera images on monitor

  • Confirm walk round video taken

  • Explain why a video could not be taken

  • Any warning lights on Dashboard

  • Take a photo of the dashboard lights

  • Any other issues

  • Please detail the issues

  • 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.