Information
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ANNUAL INSPECTION SHEET
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Inspector
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Inspector Signature
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Date
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Time
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Overhead Door<br>- Check logbook to see if complete safety checkup done by outside service company is complete
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DATE AND NATURE OF REPAIRS/ REMEDIAL ACTION AND COMMENTS
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Fire Suppression System<br>- Check logbook to see if complete safety checkup done by outside service company is complete
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DATE AND NATURE OF REPAIRS/ REMEDIAL ACTION AND COMMENTS
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UST<br>- Verify UST had annual leak test performed by outside vendor.
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DATE AND NATURE OF REPAIRS/ REMEDIAL ACTION AND COMMENTS
Supervisor
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I certify that the above recommended action has been taken on items mentioned above and/or defective items are now satisfactory.
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Supervisor
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Date
