Audit

1. JACS
Date issue was raised

Name of the person who identified the issue

Identified from

Notified during

Running / 3hr Stop / Weekend Maintenance

Urgency

2. Identify Issue

Description

Description of photos

Is the issue safe or is it a risk and needs more investigation

Investigators name

Due date
3. Plan Action

Agreed action

Planned time

FTE

Who

Due date
4. Take Action
Time taken

Comments

Signature
Job completed
5. History

Approved by

Date

Monitoring required

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.