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Safety Hat

Safety Shoes
Hand Gloves
Dust Mask
Safety Vest
Ear Plugs
Safety Googles
Drop Sheets
Orange Cones
Yellow Tape
Work in Progress Signage

Power Tools Set


Jigsaw
Power Drill
Grinder
Spade
COMPANY NAME
MAINTENANCE Department

Maintenance Job Accomplishment Report

Job Information Tools and Equipment Clearance Received By:


Date: ___________ 1.
2.
Job Description: _________________________________________ 3.
_________________________________________ 4.
Job Location: ___________________________________________ 5.
Estimated Duration: ______________________________________ 6.
Supervisor: _____________________________________________ Returned Materials to Warehouse Received By:
Skilled Workers:________ 1.
Helpers: ______________ 2.
3.
Scope of Works Status 4.
5.
6.
Accident Reports:

Other Remarks:

Sign Out By:

______________________
Date:

Noted By:

______________________
Date:

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