Title Page

  • Site conducted

  • Prepared by

  • Date of Inspection

  • Areas Inspected

    Click "Add" to add more Conditions or Practices Requiring Correction.

Conditions or Practices Requiring Correction

  • Conditions or Practices Requiring Correction

  • Location of Condition or Practice

  • Equipment Number

  • Photos

Ranking

  • Risk Assessment

  • Accountability Requirement

  • Priority Ranking: A = Initiate immediate corrective action, B = Complete corrective action within 48 hours, C = Complete corrective action within 30 days, OFI- Opportunity for Improvement; No completion date assigned.

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