Title Page

  • Conducted on:

  • Property ID:

  • Work Order Reference and Property Address:

  • Tenant name/Contact Details:

  • Asset Class:

  • HeadContractor/Region:

  • Prepared by:

1.0. General:

  • 1.1. Trade:

  • 1.2. SOR Category and Code:

2.0. General Assessment:

  • 2.1. Work Order Programme:

  • 2.2. Assessment type:

  • 2.3. Property Access:

3.0. Process:

  • 3.1. Where applicable has invoices/ receipts been provided?

  • 3.2. Where applicable has reports/inspections been provided?

  • 3.3. Where applicable has a Quote been provided?


  • 4.1. Are there any OSH/HSEMP issues?

5.0. Issues:

  • 5.1. What issue required Re-Inspection?

  • 5.2. Has the issue been resolved?

6.0. Actions/Outcomes:

  • 6.1. What action is required?

7.0. Regional Referal:

  • 7.1. Have other issues been identified not related to this W/O that require Regional/HD Referal?

8.0. Signature:

  • 8.1. Signature of Compliance Officer completing assessment:

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.