Site Visit Recap

• Audit Title

• Location

• Conducted on

  Date

• Prepared by

• Location
  Address

• Attendees

Site Condition Progress

• What is the status of the location?

  Safe

  At Risk

  N/A

• What is the locations items of focus?

PtP Progress

• Is the location on target for all tasks?

  Yes

  No

  N/A

• What tasks must be completed?

DOT Progress

• Is the location DOT compliant?

  Yes

  No

  N/A

• What actions must the location take?

IIM Progress

• Are all IIM investigations closed?

  Yes

  No

  N/A

• What actions must the location take?

EiOS Progress

• Are all open tasks closed prior to the 3rd email notification?

  Yes

  No

  N/A

• What actions must the location take?

Overall Comments

• HSE Signature

  Sign

• Location Leader Signature

  Sign