Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Document Number

  • Customer receiving feedback

  • Complaint Number

Description of issue

  • Brief description of the issue

  • Department

  • Team Leader needs to sign here to acknowledge the issue.

  • Name of the Team Leader.

Defect Log

  • Do you wish to log any defects?

  • Defect description
  • Description of the defect

  • Add a photo of the defect

  • Where did the defect come from?

  • Team Leader Signature

  • Corrective Action
  • Please fill in detail.

  • Sign Off
  • Has the Team Leader agreed to implement the corrective action(s)?

  • Can the Team Leader sign here?

  • Can the Production Manager/Supervisor sign here?

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.