Information

  • Audit Title

  • Client (If 'Other' Please Insert Below)

  • Other

  • Site Details

  • Conducted on

  • Prepared By

VISIT DETAILS

  • Insert Time and Date of Visit

  • Installation Address

QUALITY INSPECTION

  • What is the condition of 1st Fix Wiring like?

  • What is the condition of 2nd Fix Works like?

  • Is the fuseboard Installation in good order and safe?

  • Are all Labels and Circuit Information located correctly?

  • Is the Test Certification Compliant with Installation?

PHOTOGRAPHIC EVIDENCE

  • IF ISSUES HAVE BEEN RAISED ABOVE PLEASE INSERT SUPPORTING EVIDENCE BY MEANS OF PHOTOGRAPHIC EVIDENCE AND A FULL DETAILED DESCRIPTION

  • Insert Defect

  • Defect
  • Description of the Issue

  • Provide Photographic Evidence of Issues

  • Insert Installers Name(s)

  • Date of Install

  • Acting Supervisor

  • Please describe what actions have been taken in regards to the defect noted

  • ALL SURVEY FORMS MUST BE EMAILED EACH DAY TO THE OFFICE WHERE THEY WILL BE STORED AND REVIEWED BY SENIOR MANAGEMENT EVERY FRIDAY AFTERNOON.

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.