Will Blackburn

Facility Inspection - Single Item

Single Area or Finding

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Information

Inspection No.
Organization
Building Number
Item or Area Inspected
Store Director Name
Conducted on
Prepared by

Result of inspection by other DeCA staff?
Is it a requirement by law or regulation?
Is it a recommendation?
Is this a DeCA responsibility to maintain?
What is impact if not addessed?
Can the reported condition be verified?
What is the estimated effort to restore or repair?
What is the estimated cost?
On Site Representative
Inspector Name

Will Blackburn

Facility Inspection - Single Item

Single Area or Finding

Use this Template

Print as PDF

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.