BLANK TEMPLATE — NO WORK OR TEST RESULTS RECORDED. This is a proposed record structure to discuss with your contractor. It is not an example of a completed Gotech job, a laboratory certificate or an official statutory form.
- Site / building
- ________________________________________________________________
- System and equipment ID
- ________________________________________________________________
- Job / quotation reference
- ________________________________________________________________
- Visit date and time
- ________________________________________________________________
- Technician / responsible person
- ________________________________________________________________
- Scope agreed and work performed
- ________________________________________________________________
Measurements and observations
Record actual readings with units, time and sample location. Identify the method/instrument and the agreed reference range. Attach the laboratory certificate where relevant; do not substitute this table for it.
| Time / point | Parameter / unit | Result | Method / instrument | Reference / notes |
|---|---|---|---|---|
Findings and follow-up
| Finding / evidence | Action / owner | Target date | Completion evidence |
|---|---|---|---|
Attachments and review
- Record laboratory report numbers, photos and instrument records attached.
- Identify restrictions, inaccessible equipment or incomplete work.
- Record the reviewer, date and the next agreed follow-up.