Title Page

  • CAR Register #:

  • Conducted on:

  • Site Location
  • Prepared by:

  • Position:



  • Person &/or Company responsible for action:

  • How was the issue identified or reported?

  • Reported by (position):

  • Reported by (name):

  • Description of the issue:

  • Photo of the issue:

Risk Rating:

  • Bay State Construction Risk Matrix:

    Bay State Construction Risk Matrix
  • Risk Rating based on the Bay State Construction Risk Matrix:

Risk Management:

  • Bay State Construction Risk Control:

    Bay State Construction Risk Control
  • CORRECTIVE ACTION TYPE (What type of controls are to be implemented to rectify the issue &/or prevent a repeat of the issue in future?):

  • CORRECTIVE ACTION DETAILS (Describe in detail what rectification action is to be taken by the person &/or company):

  • CORRECTIVE ACTION DATE (Action is to be completed by no later than this date & time otherwise Bay State Construction will carry out corrective action on your behalf immediately and recover all associated costs from your future claim/s):

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