IME - Audit Report

• Audit Title

• Site & Job Number

• Location
  Address

• Conducted on

  Date

• Inspectors

• Audited Item

Audit Item

Audit Item

• Minimum of 3 items

• Item checked

• Standard

• Add drawing

  Drawing

• Substandard

• Add drawing

  Drawing

• % of Compliance

• Inspection items

Inspection Item

Inspection item

• Discription

• Add media

  Media

• Add drawing

  Drawing

• Hazard Class

  Class A

  Class B

  Class C

  Good / Standard

• Class A Hazard - A condition or practice likely to cause permanent disability, loss of life or body parts, and/or loss of structure equipment or material.
  
  Class B Hazard - A condition or practice likely to cause serious injury or resulting in temporary disability or property damage that is disruptive, but not excessive.
  
  Class C Hazard - A condition or practice likely to cause minor non-disabling injury or non-disruptive property damage.
  
  Good/Standard - No action required

• Abatement Date (Correction Date)

  Date

• The item must be fixed by this date

• Abatement Completed

• Responsibility