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Dot Design Task Reporting
Step
1
of
6
16%
Project Details
Date
*
DD dash MM dash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
Location Name:
*
Example: Customer's Location & Suburb
State
*
VIC
TAS
NSW
ACT
QLD
NT
WA
SA
Name of Crew Member completing this daily report
*
First
Last
Was the task for this location completed in full?
*
Yes
No
No - What issues did you encounter?
Were any laptop risers missing or damaged?
*
Yes
No
Yes - How many and which brand?
Was all POS installed?
*
Yes
No
No - What prevented the POS from being installed in full?
Does this store require any additional equipment to complete the installation?
*
Yes
No
Yes - Please list the required ADDITIONAL equipment and quantity
Was all waste gathered and disposed of correctly?
*
Yes
No
No - what issues did you encounter disposing of the waste?
Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 1).
Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 2).
Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 3).
Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 4).
Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 5).
Take an after photo FRONT ON (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 6).
Take an after photo HIGH ANGLE (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 7).
Name of Customer Representative/Manager who signed off the task as being completed?
*
Crew Member's Comments - General feedback, callouts or concerns
*
Safety Check
Were there any potential hazards in the aisles or working space that you identified at the start or before the shift?
*
Yes
No
Were all of the identified hazards resolved at the start or before the commencement of the shift?
Yes
No
No - Is there further action required?
Were there any injuries, incidents or hazards during the shift that were NOT caused by other trades being in your workzone?
*
Yes
No
If a safety hazard was due to other trades being in the workzone, please use the section below.
Can you please select what best describes the incident
Injury
Hazard
Near miss
Incident
Please describe the injury, incident or hazards during the shift
What was the action taken?
Has the injury, incident or hazard been addressed accordingly?
Final Comments of the injury, incident or hazard
If there has been an injury, incident or hazard, the Crew Leader must print out the appropriate form, fill it in accordingly and upload it utilising the URL link at the end of this submission
Were there any Safety Hazards identified during your shift relating to other Trades? (i.e. scissor lifts working in same space as crew members)
*
Yes
No
Please describe the identified Hazard
What did you do to make this situation safe during the shift?
Please upload photo (landscape) of identified Hazard [ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
Accepted file types: jpg, jpeg, png, gif.
Any further comments/follow up regarding the above Hazard?
If there has been an injury/incident or hazard the Crew Leader must print out the appropriate form fill in accordingly and upload utilising the URL link at the end of this submission
Δ
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