Manager Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Facility Number:

• Work Order Number:

• WO Completion Date:

• Manager's Name:

• Employees Name:

• This Report Covers:

  Preventative Maintenance

  Service Order

  Collection Work Order

Completed Work Order Inspection

• Quality (Workmanship)<br>

  Very Satisfied

  Satisfied

  Dissatisfied

• Was the job completed in an efficient and timely manner?

  Yes

  No

  N/A

• Was the job site cleaned and restored to its original condition?

  Yes

  No

  N/A

• Was additional work found and reported correctly?

  Yes

  No

  N/A

• Was paper work completed accurately with sufficient detail?

  Yes

  No

  N/A

• Was the customer notified the work was completed?

  Yes

  No

  N/A

• Was the job previously inspected during "In-Progress" phase?

  Yes

  No

  N/A

In Progress Work Order Inspection

• Quality (In-Progress Workmanship)<br>

  Meets Standards

  Needs Improvements

  Unacceptable

• Are all the employees wearing proper PPE?

  Yes

  No

  N/A

• Is the task assessment filled out correctly?

  Yes

  No

  N/A

• Are all the employees L&E's up to date?

  Yes

  No

  N/A

• Is a permit required and present on the job? i.e. CSE, Dig, Burn

  Yes

  No

  N/A

• Is the JSA being followed and/or are tasks accessed properly?

  Yes

  No

  N/A

• Is special safety equipment required? i.e. LOTO, fall protection

  Yes

  No

  N/A

• Is this job a multifunction team requirement?

  Yes

  No

  N/A

• Are the correct tools being utilized and in the proper manner?

  Yes

  No

  N/A

• Comments:

• Add signature

  Sign

• Select date

  Date