Confirmation of Verbal Instruction

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Confirmation of Verbal Instruction

• Details of instruction

  Yes

  No

  N/A

Additional plant,materials,labour required for instructed works

• Additional plant required

  Yes

  No

  N/A

• Additional materials required

  Yes

  No

  N/A

• Additional labour required

  Yes

  No

  N/A

• Verbal instruction was received on

  Date

• Instruction issued by (client )

  Sign

• Instruction received by (Rock)

  Sign