Audit
Safety Spot Inspection
Organization, unit, activity, or work area being inspected:
Spot Inspection Date & Time
Inspector Name/Office Symbol
Description of the areas, equipment or processes/procedures reviewed as well as observations (positive findings, hazards, or unsafe work practices):
Add media
Causes of deficiencies and hazards:
- Training
- Equipment
- Technical Data
- Human Error
- Misconduct
- Process Inadequate or Faulty
- Leadership/Supervision
- Other
Recommendations for corrective action:
Name and phone number of person responsible for implementing corrective action:
Notes, corrective action taken, 332 Work Order number, Request RAC/Safety Office:
Follow-up date (30 days):
Date closed:
