Information

  • Document No.

  • Conducted on

  • Inspection Completed on:

  • Facility Name:

  • Areas covered by inspection:

  • ESH Team member(s) completing inspection:

  • Facility Personnel accompanying ESH Team:

  • Do any open items remain from the previous inspection?

  • Open Item Document Number:

  • Was the inspection Report reviewed with the Plant Manager (or designee) prior to leaving the Facility?

  • Please sign as receipt of the attached inspection.

  • Cut and Paste E-mail return receipt if forwarded after leaving the facility.

  • Is there an item of concern?

  • Inspection Item
  • Is this a repeat item of concern?

  • Location of Concern?

  • Category?

  • Describe the concern:

  • Add a photograph if needed.

  • Is this an Action Item?

  • Corrective Action:

  • Date Corrective Action is to be completed?

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.