CHECK IN FORM
Customer Name
*
First Name
Last Name
Business Name if applicable
Date of check in
*
-
Month
-
Day
Year
Date
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LEAD
NOTES FOR LEAD:
Knock on the Front door and introduce yourself.
Give the homeowner a brief summery/description of the work we are doing on the home.
Inform the home owner that we have notified 811 Missouri Dig Right. Inform the home owner that the city will mark all public lines. 811 does not mark private lines. Ask them if they are aware of where any private utilities may be on the property. Ask them where their water and gas shut off is located.
IF they have any questions you cannot answer tell them you will get right back with them and call Project Manager.
Ask them if they would like floor jacks lifted (or push piers lifted ask salesman on Push Piers Customer must pay for this procedure). If so, by how much? Remind them that stabilization is recommended. We can lift however we cannot guarantee lift. Sometimes the weight of the house will not co-operate with us and sometimes we cannot get enough toque, tension and pressure with our equipment. Remind the homeowner that drywall cracking and cracked title can occur if they choose to lift.
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Lead
Utility Saftey
Remember we need to have all utilities marked in our digging area. Utilities should be marked by 811 dig-right if digging outside. If they have not been marked call project manager. Remember dig right will never mark private lines such as water well or septic or shop electrical.
What types of underground Utilities are in your work area (check all that apply)
*
Electric
Gas
Septic/ sewer
Water
Other
The following utilities are currently marked (check all that apply)
*
Electric
Gas
Septic/Sewer
Water
Other
There are unmarked utilities in my dig area
*
No
Yes- public utilities- call Project manager
Yes- private utilities- ask homeowner
I know where the water shut off to the house is located.
*
Yes
No
Not in dig area- does not apply
The home owner just showed me!
I know where the gas shut off to the house is located.
*
Yes
No
Not in dig area- does not apply
The homeowner just showed me!
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Customer Consent Page
I agree to the contents that I previously discussed with my representative during the inspection. I am choosing to lift or stabilize the house within my own power. I understand that I am responsible for cosmetic damages that may result from alteration of foundation movement upon or after installation of new supports. I agree and understand that I am responsible for potential damages therein.
*
Stabilize Only
Please attempt lifting
Neither are applicable to my project
My Installation team lead has checked in with me, and I give them a green light to proceed with installation. Signature Required:
Submit
Submit
Should be Empty: