Title Page

  • Inspection No.

  • Personnel

  • Area Inspected

  • Date of Inspection

Inspection Team

  • INSTRUCTIONS:
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    1. Click Add to add more items below.
    2. Answer the below questions using text and selecting the correct answer from the choices provided below.
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • 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

  • W/O No.

  • 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.

  • Assigned Completion Date

  • Actual Completion Date

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.