Site Information

  • Case Number

  • Inspection Name

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Reason for site vist

Reason for site visit

  • Date of complaint

  • Complaint

Equipment Information

Equipment Information

  • Model number

  • Serial number

  • Start up date

  • Start up by CCS

  • Warranty type

  • Warranty End Date

  • Software version

  • Run hours / Starts

  • Site photos

Observation

Observations

  • Observation 1

  • Observation 1 Photo

  • Observation 2

  • Observation 2 Photo

  • Observation 3

  • Observation 3 Photo

  • Observation 4

  • Observation 4 Photo

  • Observation 5

  • Observation 5 Photo

  • Observation 6

  • Observation 6 Photo

  • Observation 7

  • Observation 7 Photo

  • Observation 8

  • Observation 8 Photo

  • Drawing

Travel information

Travel

  • milage

  • Approximate Hours on this Inspection

Recomendations

Recommendations

  • Critical Recomendations

  • Recommended Actions or Repairs.

  • Suggestions to improve performance and reliability

  • If there are any further problems not addressed in this report or questions please call the Carrier ROLE support line to discuss further. Reference the above report number when you call. The phone number is 877-963-1995

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.