FIELDNOX · PRINTABLE TEMPLATE

Proof-of-Work Report Template

PROOF-OF-WORK REPORT

WHAT WAS REQUESTED
Job / visit reference:
Customer / site / work area:
Visit date / technician:
Agreed scope:
Exclusions:
Scope changes / authorization reference:

WHAT WAS DONE
Tasks actually performed:
Materials / quantities / units:
Checks performed / method / results:

WHAT SUPPORTS IT
Before evidence (ID | caption):
During evidence (ID | caption):
After evidence (ID | caption):
Original evidence location:

WHAT REMAINS OPEN
Unverified or inaccessible items:
Completion status:
Remaining work / owner / target date:

SIGN-OFF AND DELIVERY
Prepared by:
Reviewed by / date:
Acknowledgment meaning:
Acknowledged by / date:
Missing acknowledgment / reason:
Report version / delivery date:
Intended recipient:

Documentation aid: adapt to your job and agreed reporting process.