Template

Waiver of Liability for Variation to Electrical Services

by Troy Manion, from the Community

10+

Formalize customer acknowledgement when emergency electrical repairs require deviations from the NEC. This waiver template captures the variance requested, potential defects and risks, the temporary nature of the work, and responsibilities for restoring full code compliance. Record job-site details, representatives, titles, and dates, and secure signatures from both parties. Ideal for electrical contractors, service teams, and facility managers managing urgent repairs and maintenance.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Repairs and Maintenance
This repairs and maintenance form supports weekly retail store visits. Record whether repairs are urgent, describe requested work, and document exterior, interior, and electrical equipment issues. Attach photos for evidence, capture store name and ID, and collect a name and signature. When complete, email the compiled report to the operations manager for follow up.
by Marlin Hana, from the Community
Downloads: 10+
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Template
Lancaster Painting Waiver of Liability
This waiver of liability helps Lancaster Painting and similar contractors document customer consent when moving large appliances during painting projects. The form captures client or site details, date, location, and signatures from the crew leader and customer. It clearly states that any damage resulting from moving a fridge or washing machine is not the contractor’s responsibility. Use this template as a starting point and seek professional advice to ensure it suits your jurisdiction and company policies.
by Steve Talkington, from the Community
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Rivelect Floor and Wall Chasing Sign Off
This template records authorization to chase or trench walls and floors before electrical or cabling work. It guides teams to check for water, gas and electrical services, review both sides of the wall where possible, and document client details and signatures. It includes a liability waiver for repairs if concealed services are damaged. Use it to standardize pre-cut checks and secure client consent before any cutting or chasing starts.
by John Nikolich, from the Community
Downloads: 10+
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Template
Job Order Template
Use this job order template to manage service visits from start to finish. Record customer and site details, check in and out times, work descriptions, customer complaints, equipment brand, model and serial numbers, repairs required or completed, parts needed, photos of name plates and equipment, and remarks. Capture customer feedback and collect signatures from the customer, technician, and service in charge to confirm completion and warranty status. Ideal for restaurants and food service operations to track maintenance and repairs across locations.
by RIYAS SAINUDHEEN, from the Community
Downloads: 0
Get

Repairs and Maintenance

This repairs and maintenance form supports weekly retail store visits. Record whether repairs are urgent, describe requested work, and document exterior, interior, and electrical equipment issues. Attach photos for evidence, capture store name and ID, and collect a name and signature. When complete, email the compiled report to the operations manager for follow up.

by Marlin Hana, from the Community

10+

Get

Template

Lancaster Painting Waiver of Liability

This waiver of liability helps Lancaster Painting and similar contractors document customer consent when moving large appliances during painting projects. The form captures client or site details, date, location, and signatures from the crew leader and customer. It clearly states that any damage resulting from moving a fridge or washing machine is not the contractor’s responsibility. Use this template as a starting point and seek professional advice to ensure it suits your jurisdiction and company policies.

by Steve Talkington, from the Community

10+

Get

Template

Rivelect Floor and Wall Chasing Sign Off

This template records authorization to chase or trench walls and floors before electrical or cabling work. It guides teams to check for water, gas and electrical services, review both sides of the wall where possible, and document client details and signatures. It includes a liability waiver for repairs if concealed services are damaged. Use it to standardize pre-cut checks and secure client consent before any cutting or chasing starts.

by John Nikolich, from the Community

10+

Get

Template

Job Order Template

Use this job order template to manage service visits from start to finish. Record customer and site details, check in and out times, work descriptions, customer complaints, equipment brand, model and serial numbers, repairs required or completed, parts needed, photos of name plates and equipment, and remarks. Capture customer feedback and collect signatures from the customer, technician, and service in charge to confirm completion and warranty status. Ideal for restaurants and food service operations to track maintenance and repairs across locations.

by RIYAS SAINUDHEEN, from the Community

Get

Waiver of Liability for Variation to Electrical Services

About author

You might also like

Repairs and Maintenance

Lancaster Painting Waiver of Liability

Rivelect Floor and Wall Chasing Sign Off

Job Order Template

You might also like

Repairs and Maintenance

Lancaster Painting Waiver of Liability

Rivelect Floor and Wall Chasing Sign Off

Job Order Template