Quality Audit

• Inspection Date

  Date

• Conducted By

• Location
  Address

Chamber Inspection

• Chamber Identification Number

Rope

• Rope Inspection?

  Yes

  No

• Rope tied off correctly?

  Pass

  Fail

A-Frame

• A-Frame Inspection?

  Yes

  No

• A-Frame Built to Specification?

  Pass

  Fail

Sub-Duct

• Sub-Duct Inspection?

  Yes

  No

• Sub-Duct - Tag, Strap & Tape to Specification

  Pass

  Fail

• Have cable ties been flush cut?

  Pass

  Fail

Cables

• Cable Inspection?

  Yes

  No

• Cable - Tag, Strap & Tape to Specification

  Pass

  Fail

• Have cable ties been flush cut?

  Pass

  Fail

Debris

• Debris Inspection?

  Yes

  No

• Has debris been removed from pit/chamber?

  Yes

  No

• I confirm that the inspection has been carried out accurately and to current specifications.

• Supervisor Signature

  Sign