Municipal, Township or Utility Inspection Documentation Form

• Inspection No.

• Inspecting

• Project Site - Willow Grove Fairfield Inn & Suites

• Inspection Conducted on

  Date

• Chris Halpin

• Location WG FFIS
  Address

Inspection Scheduling

• Select date

  Date

• Did superintendent review work for inspection, and find that work ready for inspection?

  Select Yes No

  • Yes
  • No

• Review work to be inspected.

• What inspection is required? Be specific as possible, Framing, Mechanical, fire stop, what floor, room numbers, ect.

• Is this a re-inspection?

  Select Yes No

  • Yes
  • No

• What was the iAuditor form number from failed inspection

• Was contractor who's work is being inspected notified of date and time?

  Select Yes No

  • Yes
  • No

Inspection Report

• Inspector's name and department or utility?

• What was inspected, be specific?

• What was the inspection result?

  Select Pass Fail

  • Pass
  • Fail

• Comments?

• Why did the inspection fail? Who is responsible for correcting the deficiency?

• Was re-inspection scheduled?

  Select Yes No

  • Yes
  • No

• Select date

  Date

• Inspector

  Sign

• PAC Superintendent

  Sign