Plant Inspection Program

• Specify Area

• Document No. - Initials w/ Date

• Conducted on

  Date

• Prepared by

Area / Equipment

• Inspection Notes

Area/Equipment Inspected

• Area/Equipment

• Condition Found

• Classification

  Select Citation Recommendation Comment

  • Citation
  • Recommendation
  • Comment

• CFR Standard

• Gravity

  Select No Likelihood Unlikely Reasonably Likely Highly Likely Occured

  • No Likelihood
  • Unlikely
  • Reasonably Likely
  • Highly Likely
  • Occured

• Severity

  Select No Lost Work Days Lost Work Days or Resticted Duty Permanently Disabling Fatal

  • No Lost Work Days
  • Lost Work Days or Resticted Duty
  • Permanently Disabling
  • Fatal

• Negligence

  Select No Negligence Low Negligence Moderate Negligence High Negligence Reckless Disreguard

  • No Negligence
  • Low Negligence
  • Moderate Negligence
  • High Negligence
  • Reckless Disreguard

• Action to Terminate

• Add Photos

  Media