Information

  • Document No.

  • Audit Title

  • Received/ observed on

  • Who prepared the Audit

  • Location

The issue and the customer

  • Was this a customer complaint

  • The issue as raised by the customer

  • Was =the issue raised anonymously ?

  • When did you contact the customer

  • Did they provide any another relevant detail -

  • Did you contact the owner prior to inspection

  • Owners details

Investigation

  • Photos of what you saw, in the following Order - 1) WIDE - shows entire area and sets up visual context

  • 2) MEDIUM - shows area of concern in relation to 1.

  • 3) DETAIL - shows close up of issue (including measurements etc)

  • Did you obtain any physical evidence ?

  • Add media

  • Where is it stored and does it have a evidence number ?

  • Did you speak to anyone on site or any witnesses ?

  • Persons particulars i.e Role, address, contact details, who they work for etc.

  • Person
  • Contact Details

  • What relevant information did they provide

  • Based on the above 'prima facie' evidence do you believe a breach has occurred ?

  • Category of breach

  • Description of Breach

  • Description of Breach

  • Is their a valid consent for the works ?

  • Consent number

  • Relevant conditions

  • Description of Breach

  • Description of Breach

  • Description of Breach

  • Description of Breach

  • Description of Breach

  • Additional Ranger comments i.e condition

  • What is the most suitable regulatory response

  • Reasons for no action -

Close of initial investigation

  • Officers signature confirming that the information provided is true and accurate to the best of their knowledge.

  • Who identified the issue ?

  • Time and Date the customer who lodged the complaint was advised

  • Have you created a DATAWORKS task

  • DWS number

  • What was recommendation ?

  • Team Leaders Concurrence

  • Number

  • Time and Date the customer who lodged the complaint was advised

  • Time and Date the customer who lodged the complaint was advised

  • Team Leaders Concurrence

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.