Safety Spot Inspection

  • Spot Inspection Date & Time

  • Office/Location

  • Activity or work area being inspected:

  • Description of the areas, equipment or processes/procedures reviewed as well as observations (positive findings, hazards, or unsafe work practices):

  • Add media

  • Causes of deficiencies and hazards:

  • Comments:

  • Recommendations for corrective action:

  • Name and phone number of person responsible for implementing corrective action:

  • Notes, corrective action taken, 332 Work Order number, Request RAC/Safety Office:

  • Follow-up date (30 days):

  • Date closed:

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