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Facility Management Exception Report Template

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Facility Management Exception Report Template

General

Facility Adress
Enter the exception report number
Employee's name

Report Checklist

What service category does this exception report relate to?
What are the effected sub-services
What are the specific issues in relation to this report?
Add photos
Are the any specific maintenance issues or records to note
Has a work order been raised and if so what is the reference number
Is the cost of rectification/remediation/nonconformance known? If so provide details
What is the Preliminary OHS risk level? Rate (1=Negligible) (2=Low) (3=Moderate) (4=High) (5=Extreme)
Provide details of OHS risks including likelihood and consequences
What is the Preliminary Environmental risk level? Rate (1=Negligible) (2=Low) (3=Moderate) (4=High) (5=Extreme)
Provide details of Environmental risks including likelihood and consequences
Other comments

Sign off

Signature
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.

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Use this exception report template to document deviations from the work, including relevant factors and reasons why the deviation was necessary.

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