1. Please answer the questions below by typing in your responses.
2. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
3. Complete audit by providing digital signature.
4. Share your report by exporting as PDF, Word, Excel or Web Link.

Site Visit


Date of Callout
Date and Time report generated
Weather conditions on site

Service Provided

Approx De-Icing Salt used

Site Visit Photos

Click Add "PHOTO"

Add media
Call Out By Name and Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.