Information
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Prepared by
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Committee Members
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Other Attendees
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Location
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Conducted on
- Please Select Add To Input Findings
Finding
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Type of Finding
- Citation
- Recommendation
- Best Practice
- Example of Excellence
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Condition or Practice
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Type of Violation
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30 CFR Standard
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Specific Policy Violation
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Photo
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Was the issue corrected?
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What is the recommended corrective action?
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Who is responsible for the corrective action?
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When is the corrective action due?
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What was done to correct the issue? (who, what, when, where)
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Are there any recommendations/solutions to prevent this issue or a re-occurrence of this issue in the future?
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What is/are the recommendations to prevent this issue or a re-occurrence of this issue in the future?
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Is a work order needed?
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Who will input the work order?
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W/O Number