Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Please fill this form out completely.

  • Project name and phase number

  • CO NUMBER for this project.

  • Descriptive Name of the change order.

  • When are we performing this CO?

  • Where is this CO taking place?

  • Descriptive pictures of problem. (min of 5 needed before pictures)

  • What Materials are needed to preform this CO?

  • List all Labor needed to perform the CO

  • Descriptive pictures of the finished project. (Only if it is pros able to take this pictures at the time of signing this form. Please mark this question NA if you are unable to provide)

  • Signing this form is Accepting the conditions started above. This form will be followed by a formal CO form with pricing. The sign is the on site Authority for this project.

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.