Field Report

Project Name:

Project Address:

Client Name:
Date and Time of Inspection:


Authority Having Jurisdiction:

Type of Inspection:

Level of Inspection:

As requested a RCI representative was onsite to perform:

Detailed Observations:

Re-inspection Required:

Site Photographs:

Inspection Performed by:

Inspection Results:

Reviewed By:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.