Monaco Electric - Field Report

1 Job & Technician Info

Complete

Report Date *

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Technician Name *

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Project *

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Job Number *

Job number is required

Arrival Time *

Departure Time *

Total Hours Worked:

2 Safety & Site Assessment

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Safety Checklist

PPE worn?

Yes No

Lockout/Tagout performed?

Yes No

Arc Flash assessment done?

Yes No

Safety Follow-up Required *

Hazards Observed *

Weather *

Temperature (F)

Crew Size *

3 Work Performed

Complete

Work Type *

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Detailed Description *

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Work description is required

Issues/Delays Encountered

4 Materials Used

Complete

Description	Qty	Unit Cost	Total

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Grand Total:

5 Photos, Notes & Sign-off

Complete

Photos

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Additional Notes

Customer Name *

Customer name is required

Customer Satisfaction

Customer Signature *

Safety Incidents Occurred

Incident Details *

Please complete all required fields before submitting