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JCARD/01

PAGE

REV

02

DATE

24/02/2016

Job Card
Job Card No.
Date Allocated
Start Date
Job Issued by
SMR

Fleet / plant no.


Allocate to
End date
Time job finished

Safety Precaution
Description

Yes/No

Comment

Assess the plant / machine / area


Risk assessment done
Lockout done (sign in & out)
Correct tools for the job are available
Correct PPE Available and used
Assess the plant / machine / area

Risk ass. no.


Lockout no.

Description of job(s) to be done:

Instruction issued and explained by (name)


Signature
Instruction understood and accepted by (name)
Signature
Description of job(s) done:

Job completed by (name)


Signature
Supervisor signature
Manager Signature
Parts fitted
Supplier

Supplier

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