Client Questionnaire

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Client Data

• Select date

  Date

• Name<br>Position<br>email<br>Company<br>Phone<br>City<br>Street address<br>

  Yes

  No

  N/A

Platform Data

• Number of platforms<br>Length<br>Width<br>Height<br>Access<br>Work platform or access platform<br>SWL<br>Mobile

  Yes

  No

  N/A