Title Page

  • Conducted on

  • Prepared by

  • Site name
  • Equipment serial number

Defects

    Defect information
  • A defect - Unsafe, out of service. B defect - To be completed on/before next site visit.
    C defect - Observation/Recommendation

  • Category of defect

  • Description and photos of defect

Additional information

  • Is a site survey required?

  • Have you identified how the remedial can be carried out?

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.