SITE OBSERVATION REPORT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observations:

C = Complies O = Observation CA = Corrective Action Required

All Corrective Actions must be actioned immediately.

Item 1

• Finding:

  Safe

  At Risk

  N/A

• Description:

• Add media

  Media

Item 2

• Finding:

  Safe

  At Risk

  N/A

• Description:

• Add media

  Media

Item 3

• Finding:

  Safe

  At Risk

  N/A

• Description:

• Add media

  Media

Item 4

• Finding:

  Safe

  At Risk

  N/A

• Description:

• Add media

  Media

Item 5

• Finding:

  Safe

  At Risk

  N/A

• Description:

• Add media

  Media

• Signature of Observer

  Sign

• Signature of Site Manager

  Sign

• Select date

  Date

VOS\IMS\00 RISK MANAGEMENT\05 Quality Safety Environment Audits

Effective: 10/5/2012 Supersedes: 3/8/2011