Title Page

  • Conducted on

  • Prepared by

  • Location

General

  • Organization

  • Model

  • Registration/Serial

  • TM Number

  • TM Number

  • TM Date

Equipment deficiencies and shortcomings

  • Add equipment

  • Equipment
  • Item No.

  • Status

  • Deficiencies and shortcomings (select all that apply)

  • Enter description of deficiency

  • Upload photos of equipment damage

  • Corrective action

  • Sign off when corrected

Sign off

  • Manhours required

  • Person performing inspection

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.