ULTEGRA - Lighting Solutions Completion Form
MR Number
*
Date
*
-
Day
-
Month
Year
Date
Crew Name
*
Leon Granger
Mitch Solomon
Brett Harrington
John Reskov
Mike Lamb
John Neeves
Dean Bittar
Jack Sweeny
Michael Fulcher
Scott Stanley
Mark
Other
Work Completed
Pole ID
Repaired?
Repaired Item
Comments/stock used
Light 1
Yes
No
Globe
PE Cell
Fuse
Fitting
Scrap/Remove
Re-aim
Light
2
Yes
No
Globe
PE Cell
Fuse
Fitting
Scrap/Remove
Re-aim
Light
3
Yes
No
Globe
PE Cell
Fuse
Fitting
Scrap/Remove
Re-aim
Light
4
Yes
No
Globe
PE Cell
Fuse
Fitting
Scrap/Remove
Re-aim
Light
5
Yes
No
Globe
PE Cell
Fuse
Fitting
Scrap/Remove
Re-aim
Light
6
Yes
No
Globe
PE Cell
Fuse
Fitting
Scrap/Remove
Re-aim
Claim Items
Pole ID
24A
24B
24C
24D
25A
25B
25C
25D
27
27A
28
28A
26
Light 1
Light
2
Light
3
Light
4
Light
5
Light
6
Photo
Browse Files
Cancel
of
Back
Next
Save
Save
Submit
Should be Empty: