Information

  • Document No.:

  • Project Name:

  • Jobsite Address:
  • Date/Time:

  • Job#:

  • Prepared by:

  • General Contractor:

  • Personnel (Name & Title):

Deficiency Items

  • Deficiency No. 001:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 002:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 003:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 004:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 005:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 006:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 007:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 008:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 009:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 010:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 011:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 012:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 013:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 014:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 015:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 016:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 017:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 018:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 019:

  • Company/Trade Responsible:

  • Photos:

  • Deficiency No. 020:

  • Company/Trade Responsible:

  • Photos:

Additional Information

  • Notes, Issues, Concerns:

  • Photos:

  • Site Safety Observations:

  • Photos:

  • Quality Control Observations:

  • Photos:

Signature

  • By signing you acknowledge that you have reviewed and completed this report:

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