Inspection Results


ID #

Add media

All equipment in good operating condition?

Corrective Actions

Enter any corrective actions that will be undertaken

Sign Off
Site supervisor or designate
Inspectors 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.