Title Page

  • Shift Pattern

  • Date & Time

  • Prepared by

  • Shift Attendance By

PLANT CHECKS

  • Plant Cecks Complete

  • List Noted Issues From Plant Check

BMS CHECKS

  • BMS Checks Complete

  • List of Critical Alarms

REACTIVE TASKS

  • List Reactive Tasks Completed, Including Job Number if any

PPM TASKS

  • List PPM Tasks, Including Job Number

LIGHTING REQUESTS

  • Requesters Name, Company, Reason & Time

PERMITS

  • Contractor Attendees Name, Company & Time

  • List Issued Permits and Reference Numbers

ISOLATIONS

  • List Any Mechanical Isolations

  • List Any Electrical Isolations

  • List Any Fire Detection Isolations

FIRE DETECTION

  • List Any Fire Detection Activations

FOLLOW UP

  • List Issues/Tasks To Be Followed Up

INCOMING SHIFT

  • Date & Time

  • Attendees Names

  • Outgoing Shift Leader

  • Incoming Shift Leader

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.