Information

  • Client / Site

  • Location

  • Conducted on

  • Auditor(s)

  • Technician(s)

  • Work Order #

  • Is the Two Minute Rule fully completed (triggers appropriately identified, hazards identified and adequately mitigated)?

  • Are all safety policies and procedures being followed (LOTO, PPE, confined space permitting, hot work, etc.)?

  • Is the work being completed in a timely fashion (work order completed on time as set by priority, response time acceptable as set by priority)?

  • Is the work being completed with a high level of workmanship (proper number of technicians appropriate for work effort, proper materials used, material properly procured and proper work installation and repair methods used)?

  • Are all work order details accurately captured (pm/work procedures followed and adequately documented)?

  • Is the housekeeping around the immediate work area acceptable?

  • Other Comments

  • Sign

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.