Title Page
-
Conducted on
-
Person Performing Inspection
-
Employee Being Inspected:
-
Machine or Equipment:
-
Was a written procedure developed?
-
Did the employee correctly follow the procedure?
-
Additional Comments:
-
Deviations:
-
Corrective Action Needed:
-
Deviations Corrected?
-
Certified By:
-
Date:
