Title Page

  • Prepared by

  • Conducted on

  • Location

Defect Information

  • Job Number

  • Defect Reference

  • Exchange Name

  • Defect Type

  • Before Pictures - take multiple if required

Resolution Information

Resolution Information

  • Actions Undertaken to Resolve

  • Who was responsibility for Defect

  • Defect Outcome

  • After Pictures - take multiple if required

Signature

  • Signature of Assessor

  • End Date / Time

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.