Title Page

  • Audit Title

  • Client / SiteClient / Site Name

  • Conducted on

  • Prepared by

  • Personnel Involved in Audit / Inspection

Nature of Issues Identified

  • Location Department

  • Description of findings

  • Is this a Health and Safety Issue?

  • Is this a Infection Control Issue?

  • Is this a Fire Safety Issue

  • Remedial Action Required

  • Who is Responsible for Remedial Action?

  • Priority

  • Has a new job been created on MICAD and if so what is the job number?

  • Date Due for Completion

  • Date Completed

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.