Information

  • Job #

  • Job Location

  • Conducted on

  • Prepared by

  • General description of Issue

General Overview

  • Who is involved? (ie: contractor, vendor, end user, etc)

  • Why is this a discrepancy? (ie: why should we not use an item, why is it incorrect?)

  • Provide evidence (ie: print VS spec, incorrect hardware, etc)

Short Summary of Discussion

  • Did we talk to the end user, vendor, customer?

  • Did this issue / discrepancy cause a STOP WORK situation?

  • How many time was lost due to STOP WORK?

Resolution

  • Was there resolution involving all parties?

  • Who provided the resolution?

  • What was the resolution?

  • Will there be a change order?

  • If PMES is responsible for cost, were all receipts matched?

Sign Off

  • Customer / End User / Site Contact Sign Off

  • Does customer / end user / site contact agree to sign?

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.