QUALITY CONTROL RECORD SHEET

CLIENT: DATE: OPERATIVE/SUPERVISOR;

SITE ADDRESS: PLEASE TICK BOX: OPERATIVE 2:

PROJECT NO: DAY NIGHT WEEKEND SAFE SYSTEM OF WORK: I HAVE READ AN UNDERSTOOD MY RAMS YES NO

SEAL NO. LOCATION / BLOCK / LEVEL / AREA (to be completed) No. WIDTH (mm) HEIGHT (mm) MATERIAL WALL/FLOOR SERVICE TREATMENT USED No. FIRE RATING
USED

ATTENDANCE RECORD CONFIRMATION TICK BOXES MATERIAL & PLANT USED

HOURS All Available Works Have Been Carried Out:

NPO Drawing Received:

Photos Taken:

Access Equipment Checked:

The signature of the clients representative on this sheet confirms that LONUT LTD have been instructed by the client to attend site to carry out the
above works in accordance with agreed rates and that these works have been completed on site to the clients satisfaction.

Client Representative: Signature:

Position: Date: