Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Please enter the time the interaction took place
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Reason for interaction
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Describe the situation that caused the interaction
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Draw a diagram if required to help explain situation
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Take a photo if able to (remember not to be intrusive and explain to the person why you are taking a photo)
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Record the what was communicated with the person involved
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Record what outcomes have been agreed on
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Record details of follow up action as required
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Add signature
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Add signature
