Title Page

  • Prepared by

  • School Name

  • Notes

  • Start Time

  • Project Number

  • Incident Number

Classroom Information

  • Classrooms

  • Room
  • Room Number

  • Amplifier Serial Number

  • Sensor Serial Number

  • MicroTear Serial Number

  • Handheld Serial Number

  • Picture of Microphones

  • Picture of Amp

  • Picture of Above Ceiling

  • Notes

Completion Information

  • Completion Time

  • Additional Notes/Equipment Sign Off

  • Items Left

  • Signature of School Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.