• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Project Name:

  • Job/Contract Number:

  • Surveillance Officer:

  • Contractor:

  • Contact:

  • Date:

  • Arrival Time:

  • Departure Time:

  • Exact Location:

  • Work Item(s) Being Inspected:

  • General Site Observations; Defective Work and Materials; Non-Compliances; Test Results; Plant & Labour on Site; Hold/Witness Points Reached:

  • Quality of Work:

  • Delays:

  • Environmental; OH&S; Industrial Relations Issues:

  • Verbal Directions Given to Contractor:

  • Is a Notice of Proposed Variation, Variation Order or Site Instruction Required?: (If Yes, Provide Details:)

  • Further Inspection and/or Testing Required on Work Item(s) Listed Above:

  • Photographs Taken: (If Yes, Provide Details:)

  • Ground Conditions (Add any Action Required)

  • Contractors Verification Records:(Add any Action Required)

  • Weather Conditions:

  • Other Comments:


  • Select date

  • Trim Number:

  • Trim Folder:


  • Add signature

  • Add signature

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