Information

  • Document No.

  • Audit Title (Plot No. / Site Address)

  • Location
  • Prepared by

  • Conducted on

Contact details

  • Contact Person (name & telephone)

Issue details

    Issue

  • Issue Priority Level

  • Issue Category

  • Issue Location

  • Issue Description

  • Likely cause of issue

  • Image before repair

  • Image after repair

  • Materials/repair details

Declaration

Declaration by owner/occupier

  • As owner/occupier of the above mentioned property I hereby confirm that I am satisfied with the remedial works carried out at my property and that I am satisfied that during these works my property and possessions have been left in the state in which they were found.

  • Owner/Occupier

  • Sub-Contractor

  • Representative

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.