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Services and Utilities Shutdown and Isolation Form

by Andrew Moar, from the Community

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This asset management form helps plan and record the shutdown, interruption, or isolation of site services, including electrical, potable and recycled water, sea water, gas, sewerage, and fire services. Capture request and purchase order details, location and task information, and specify the item to be isolated. Document areas impacted, notification methods, and the people and teams informed. Log approvals, authorised personnel and licenses, start and completion times, and photo evidence of shutdown and restoration. Ensure required managers are notified and services are safely reconnected.

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Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
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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

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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.