Title Page

  • Audit Title

  • Job No.

  • Asset Number

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Details

  • Were plans provided?

  • Type of plans provided

  • Describe type of plans

  • Describe type of plans

  • Plans provided by:

  • Details of other

  • Do plans indicate services in the vicinity?

  • DBYD Plans required?

  • Is a sketch required?

  • Type of search

Area/ Location Scanned

  • Add an element for every area located

  • Area
  • Area Name

  • Type of service located

  • Equipment used

  • Site marking completed?

  • SUI Quality Levels

  • Attach photos

  • Comments

Hand-Over Sign Off

  • Name of Service Locator

  • Signature of Locator

  • Client Representative Name

  • Client Representative Position

  • Client Representative Signature

  • Time and Date of Signing

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.