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Tag Install Reporting
Step
1
of
7
14%
Project Details
Date
*
DD dash MM dash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
Crew Team Member
*
First
Last
State
*
VIC
TAS
NSW
ACT
QLD
NT
WA
SA
Store Location
*
Total Number Of Bays Completed
Were you able to locate planogram instructions?
*
Contact on site full name
*
Feedback on install
Photos:
Photo Of Completed Section 1/4
*
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*
Photo Of Completed Section 2/4
*
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*
Photo Of Completed Section 3/4
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*
Photo Of Completed Section 4/4
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*
Safety:
Were there any injuries, incidents or hazards during the shift?
*
Yes
No
Can you please select what best describes the incident
Injury
Hazard
Near miss
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 above injury, incident or hazard
Were there any Safety Hazards identified during your shift relating to other Trades? eg. Scissor lifts working in same space as crew members
*
Yes
No
If NO continue to SUBMIT button
Please describe the Hazard identified
What did you do to make this situation safe during the shift?
Upload a photo of the Hazard identified
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*
Any further comments/follow up required?
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