Information

  • Client Name / Site

  • Location
  • Conducted on

  • Inspection Report Prepared by

  • Inspection Team Personnel

  • Signature of Inspection Team Leader

  • Fault / Issues Detected

  • Faults
  • Breif Description of Fault / Issue

  • Severity of Fault / Issue

  • Photo of Fault / Issue

  • Further Diagrams Regarding Fault / Issue

  • Suggested Immediate Actions

  • Suggested Actions

Corrective Action Requests

  • Corrective / Preventative Action Request

  • CAR
  • Date and Time of Request

  • Description of Non-Conformance

  • Area / Department Responsible

  • Responsible Person

  • Rationale for Non-Conformance

  • Suspected Root Cause & Contributing Factors

  • Action To Be Taken To Correct Non-Conformance

  • Expected Date Of Corrective Action Implementation

  • Action To Be Taken To Prevent Re-occurance

  • Expected Date Of Preventative Action Implementation

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.