M+W Housekeeping Evaluation

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Housekeeping Issues

• Level of Urgency

  Low

  Medium

  High

  Top Priority

• Location of area that needs improvement

  Select NFX Sub Fab NFX Fab NFX Interstitial NFX Fan Deck NFX Penthouse NFX RCTO NFX Roof NFX Exterior CUB L1 CUB L2 CUB Roof CUBX L1 CUBX L2 CUBX Roof NFN Roof NFC Roof CUB Exterior NFN Bump NFX Link Other Not Applicable

  • NFX Sub Fab
  • NFX Fab
  • NFX Interstitial
  • NFX Fan Deck
  • NFX Penthouse
  • NFX RCTO
  • NFX Roof
  • NFX Exterior
  • CUB L1
  • CUB L2
  • CUB Roof
  • CUBX L1
  • CUBX L2
  • CUBX Roof
  • NFN Roof
  • NFC Roof
  • CUB Exterior
  • NFN Bump
  • NFX Link
  • Other
  • Not Applicable

• Further Clarifying Information (specific location such as column ID or expected mitigation method)

  Yes

  No

  N/A

• Rate the severity of poor housekeeping (1 needs minor improvement- 10 needs substantial improvement)

• Rate Lighting in the Area (1 very dark - 10 well illuminated)

• Owner of Corrective Action

  Select Gary Allain Jerry Akins Ron Bell Lisa Burniche Michael Braden Mitch Brown John Bryant Russell Cameron Scott Cashin Wendy DeNew Matthew Gac Gogi Gwardschaladse Kieran Heneghan Art Hommel Dan Jeski Amelia Jezierski James Kehoe Donny Littlejohn Derek Maiellaro Nick Maryanopolis David McLaughlin Cody Messier Jarrod Mills Lee Ogle Robert Petri Dennis Robbins Terry Shupe Martin Tremblay Marc Turgeon Chuck Vickers Ryan Washburn Eric Williams Brian White,

  • Gary Allain
  • Jerry Akins
  • Ron Bell
  • Lisa Burniche
  • Michael Braden
  • Mitch Brown
  • John Bryant
  • Russell Cameron
  • Scott Cashin
  • Wendy DeNew
  • Matthew Gac
  • Gogi Gwardschaladse
  • Kieran Heneghan
  • Art Hommel
  • Dan Jeski
  • Amelia Jezierski
  • James Kehoe
  • Donny Littlejohn
  • Derek Maiellaro
  • Nick Maryanopolis
  • David McLaughlin
  • Cody Messier
  • Jarrod Mills
  • Lee Ogle
  • Robert Petri
  • Dennis Robbins
  • Terry Shupe
  • Martin Tremblay
  • Marc Turgeon
  • Chuck Vickers
  • Ryan Washburn
  • Eric Williams
  • Brian White,

• Contractor Requiring Action

  Select NA AC Dellovade BBL Coghlin Collett DMC DSI FCS Gross ICON JAF JR KM Kelly Kleeberg-Tougher Kone Lotus M+W M&L Mid State Steel PCI P+H P&J RCC Stonhard TFS Whiting-Turner

  • NA
  • AC Dellovade
  • BBL
  • Coghlin
  • Collett
  • DMC
  • DSI
  • FCS
  • Gross
  • ICON
  • JAF JR
  • KM Kelly
  • Kleeberg-Tougher
  • Kone
  • Lotus
  • M+W
  • M&L
  • Mid State Steel
  • PCI
  • P+H
  • P&J
  • RCC
  • Stonhard
  • TFS
  • Whiting-Turner

• Mitigation due date

  Date

• Auditor Name

  Sign