Audit / Inspection Details

  • Title of maintenance report (if required)

  • Operator / technician name

  • Job number

  • Company

  • Team Leader

  • Date and time

Worksite Inspection

Maintenance request details

  • Place of work

  • Other place of work

  • Equipment type

  • Description of scheduled maintenance, repair or other (Provide detail)

  • Tools sanitised before start? (Only if working in food contact areas) Add any detail needed.

  • If Food Contact Equipment / area was involved QA needs to sign off before processing restart.

  • All tools removed from work area?

  • Tools sanitised before start? (Only if working in food contact areas)

  • If Food Contact Equipment / area was involved QA needs to sign off before processing restart.

  • Equipment / area cleaned and sanitised at the end of work (Only if working in food contact areas)

  • If Food Contact Equipment / area was involved QA needs to sign off before processing restart.

Maintenance completed details (If required)

  • Verified (Name and signature)

  • Additional comments and recommendations

  • QA signature

  • Additional comments and recommendations

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.