Information

  • Document No.

  • Audit Title

  • Client Details

  • Site Details

  • Conducted on

  • Prepared By

EMPLOYEE DETAILS

  • Name

  • Employment Status

  • Date Issued

  • Add Defect

  • Defect
  • Issue Status

  • Please give a detailed account of the issue

  • Please Insert Photographic Evidence of the Issue

  • Date the Issue is to be Rectified

  • Print & Sign

INTERNAL USE ONLY

  • Works Completed By the above to a Satisfactory Standard

  • Please insert Photographic Evidence of the Completed Works

INTERNAL USE ONLY - SIGN OFF

  • Issued By:

  • Issued To:

  • Confirmed By:

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.