Sw audit assist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Audit type

  Select Ramp Audit Ops-CSA combo Flight ppwk Cargo operations Device contractor Environmental

  • Ramp Audit
  • Ops-CSA combo
  • Flight ppwk
  • Cargo operations
  • Device contractor
  • Environmental

• Stations

  Select ABQ ALB AMA BDL BHM BNA BOI BOS BWI CHS CLE CMH CRP DAL DEN DTW ECP ELP FLL GEG HRL IND IAD ISP JAN JAX JSP LAS LAX LBB LGA LIT MAF MCI MCO MDW MHT MKE MSP MSY OAK OKC OMA ONT ORF PBI PDX PHL PHX PIT PVD RDU RNO RSW SAN SAT SDF SEA SFO SJC SMF SNA STL TPA TUL TUS ABE AUA AVL ATL ACY BDA BMI BKG SJD CUN CRW CLT CAK DAY DSM FNT GRR MDT HSV EYW TYS LEX MEM MEX MIA MLI MBJ NAS PHF PNS PWM PUJ

  • ABQ
  • ALB
  • AMA
  • BDL
  • BHM
  • BNA
  • BOI
  • BOS
  • BWI
  • CHS
  • CLE
  • CMH
  • CRP
  • DAL
  • DEN
  • DTW
  • ECP
  • ELP
  • FLL
  • GEG
  • HRL
  • IND
  • IAD
  • ISP
  • JAN
  • JAX
  • JSP
  • LAS
  • LAX
  • LBB
  • LGA
  • LIT
  • MAF
  • MCI
  • MCO
  • MDW
  • MHT
  • MKE
  • MSP
  • MSY
  • OAK
  • OKC
  • OMA
  • ONT
  • ORF
  • PBI
  • PDX
  • PHL
  • PHX
  • PIT
  • PVD
  • RDU
  • RNO
  • RSW
  • SAN
  • SAT
  • SDF
  • SEA
  • SFO
  • SJC
  • SMF
  • SNA
  • STL
  • TPA
  • TUL
  • TUS
  • ABE
  • AUA
  • AVL
  • ATL
  • ACY
  • BDA
  • BMI
  • BKG
  • SJD
  • CUN
  • CRW
  • CLT
  • CAK
  • DAY
  • DSM
  • FNT
  • GRR
  • MDT
  • HSV
  • EYW
  • TYS
  • LEX
  • MEM
  • MEX
  • MIA
  • MLI
  • MBJ
  • NAS
  • PHF
  • PNS
  • PWM
  • PUJ

• Flight Number

• Gate Number

• Number of Flights

• A/C

  Select 737-300 737-500 737-700 737-800 737-MAX 717

  • 737-300
  • 737-500
  • 737-700
  • 737-800
  • 737-MAX
  • 717

• Year

  Select 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050

  • 2011
  • 2012
  • 2013
  • 2014
  • 2015
  • 2016
  • 2017
  • 2018
  • 2019
  • 2020
  • 2021
  • 2022
  • 2023
  • 2024
  • 2025
  • 2026
  • 2026
  • 2027
  • 2028
  • 2029
  • 2030
  • 2031
  • 2032
  • 2033
  • 2034
  • 2035
  • 2036
  • 2037
  • 2038
  • 2039
  • 2040
  • 2041
  • 2042
  • 2043
  • 2044
  • 2045
  • 2046
  • 2047
  • 2048
  • 2049
  • 2050

Ramp Audit

• WEAR PPE - ( Ear Protection/Safety Vest)

  Yes

  No

  N/A

• ERROR CODES

  Safety vests not worn properly

  Hearing protection not worn

  No PPE used during lac service

  other

• Safety zone clear

  Yes

  No

  N/A

• ERROR CODES

  Select Improper use of beltloader Improper execution of pushback Improper use of bag tug Improper use of bag cart Improper use of lav truck Improper use of tow bar Improper use of chocks Agent procedures not followed Towbar hooked up with A/C engine running Ground service air hose misuse Agent streching electric cord during A/C has stopped Other

  • Improper use of beltloader
  • Improper execution of pushback
  • Improper use of bag tug
  • Improper use of bag cart
  • Improper use of lav truck
  • Improper use of tow bar
  • Improper use of chocks
  • Agent procedures not followed
  • Towbar hooked up with A/C engine running
  • Ground service air hose misuse
  • Agent streching electric cord during A/C has stopped
  • Other

• Aircraft chocked properly

  Yes

  No

  N/A

• ERROR CODES

  Select One chock used 24 inch chock not used Chocks are at inappropriate angles Main gear not chocked (terminator) Gap causing A/C rollback Other

  • One chock used
  • 24 inch chock not used
  • Chocks are at inappropriate angles
  • Main gear not chocked (terminator)
  • Gap causing A/C rollback
  • Other

• Proper hand signals used

  Yes

  No

  N/A

• ERROR CODES

  Select No wands used Incorrect wands used Improper hand signal sequence Unknown hand signal used Agent out of position Other

  • No wands used
  • Incorrect wands used
  • Improper hand signal sequence
  • Unknown hand signal used
  • Agent out of position
  • Other

• Gate services procedures followed

  Yes

  No

  N/A

• ERROR CODES

  Electric connected before chocking

  Cord placed under towbar

  Ground air not used

  Ground electric not used

  other

• Towbar connected according to procedures

  Yes

  No

  N/A

• ERROR CODES

  One agent hooking up towbar/pushback

  Agent aligns pushback while standing

  Agent lifts bar while pushback is approaching

  Other

• Fwd/Aft Beltloaders positioned correctly

  Yes

  No

  N/A

• ERROR CODES

  Fwd BL positioned before bin door is opened

  Fwd Agent standing between BL and bin door

  Aft BL positioned before bin door is opened

  Aft Agent standing between BL and bin door

• Fwd/Aft Beltloaders chocked properly

  Yes

  No

  N/A

• ERROR CODES

  Select Fwd BL: One chock used Fwd BL: No chock used Fwd BL: Chocks at angels Fwd Gap between chock and tire Fwd chain under chock Aft BL- One chock used Aft BL- No Cocks used Aft BL- Chocks at angles Aft Gap between chock and tire Aft chain under chock Other

  • Fwd BL: One chock used
  • Fwd BL: No chock used
  • Fwd BL: Chocks at angels
  • Fwd Gap between chock and tire
  • Fwd chain under chock
  • Aft BL- One chock used
  • Aft BL- No Cocks used
  • Aft BL- Chocks at angles
  • Aft Gap between chock and tire
  • Aft chain under chock
  • Other

• Gate services disconnected according to procedures

  Yes

  No

  N/A

• ERROR CODES

  Ground electric still connected?

  Ground air still connected

  Improper disconnect signals used?

  No disconnect hand signals given?

  Other

• Fwd/Aft Lavs completed according to procedures

  Yes

  No

  N/A

• ERROR CODES

  Select Fwd No lavs completed Fwd only one lav serviced Fwd no flush carried out Aft No Lavs completed Aft only one lav serviced Aft no flush carried out Other

  • Fwd No lavs completed
  • Fwd only one lav serviced
  • Fwd no flush carried out
  • Aft No Lavs completed
  • Aft only one lav serviced
  • Aft no flush carried out
  • Other

• Walkaround complete prior to push

  Yes

  No

  N/A

• ERROR CODES

  No walkaround carried out

  Only partial walkaround carried out

  Other

• Guide agent following procedures

  Yes

  No

  N/A

• ERROR CODES

  Select Agent next to pushback Not on blind side of push Agent behind pushback Not using wands Wands held by sides Walking towards pushback too early Agent using incorrect wands Agent using only one wand Agent not becong attentive Failure to stop pushback (unclear safety zone) A/C pushed over stationary GSE Failure to reposiition during "S" turn Pushed without wingwalker Other

  • Agent next to pushback
  • Not on blind side of push
  • Agent behind pushback
  • Not using wands
  • Wands held by sides
  • Walking towards pushback too early
  • Agent using incorrect wands
  • Agent using only one wand
  • Agent not becong attentive
  • Failure to stop pushback (unclear safety zone)
  • A/C pushed over stationary GSE
  • Failure to reposiition during "S" turn
  • Pushed without wingwalker
  • Other

• Aircraft pushed according to procedures

  Yes

  No

  N/A

• ERROR CODES

  Agent unable to keep up with pushback

  Towbar exceeding nose egar limits

  Towbar not aligned

  Other

• Proper driving procedures followed

  Yes

  No

  N/A

• ERROR CODES

  Select Drove under wing/tail Transporting bags on tug Tug in safety zone without beltloader present Agent chasing towbar Driving too fast Pulling too many carts Equip too many carts Equip driven between Marshaller & taxing A/C Other

  • Drove under wing/tail
  • Transporting bags on tug
  • Tug in safety zone without beltloader present
  • Agent chasing towbar
  • Driving too fast
  • Pulling too many carts
  • Equip too many carts
  • Equip driven between Marshaller & taxing A/C
  • Other

• MP3/cell phone policy followed

  Yes

  No

  N/A

• ERROR CODES

  Used while driving

  Used at Gate

  Other

• FOD walk completed prior to A/C arrival and push

  Yes

  No

  N/A

• ERROR CODES

  No FOD walk performed prior to A/C arrival

  No FOD walk performed prior to A/C push

• M1 : FOD present in general ramp area

  Yes

  No

  N/A

• M2: MP3/cell phone used while driving on service road

  Yes

  No

  N/A

• M3: Agent riding belt in/out of bin

  Yes

  No

  N/A

• Pictures taken

  Media

Ops-CSA Combo

• Did Agent properly setup for the flight

  Yes

  No

  N/A

• Error codes

  Did not print flight packet

  Did not print UM or Specials report

  Did not verify fuel from the release

  Other

• Did Agent properly meet the aircraft

  Yes

  No

  N/A

• Error codes

  Select Security of jetbridge compromised(TSA) Agent did not verify crew on crew change (TSA) Jetbridge in safety zone Did not verify aircraft number Jetbridge moved before aircraft chocked Canopy not down Jetbridge bumper touching aircraft Other

  • Security of jetbridge compromised(TSA)
  • Agent did not verify crew on crew change (TSA)
  • Jetbridge in safety zone
  • Did not verify aircraft number
  • Jetbridge moved before aircraft chocked
  • Canopy not down
  • Jetbridge bumper touching aircraft
  • Other

• Did Agent properly communicate with Flight Ops/Inflight

  Yes

  No

  N/A

• Error codes

  Did not communicate UM

  No Ground Ops Employee to take custody of UM

  Did not communicate through customers

  Others

• Preboard/General boarding announcements

  Yes

  No

  N/A

• Error Codes

  Did not offer priority boarding to customers holding blue sleeves

  Other

• Did the Agent board the flight properly

  Yes

  No

  N/A

• Error codes

  Select Did not scan boarding passes as customers boarded Ignored gate reader prompts Allowed oversized baggage to board (FAA) Allowed excess baggage to board (FAA) Failed to reconcile fight in Gate Reader Other

  • Did not scan boarding passes as customers boarded
  • Ignored gate reader prompts
  • Allowed oversized baggage to board (FAA)
  • Allowed excess baggage to board (FAA)
  • Failed to reconcile fight in Gate Reader
  • Other

• Did Agent gather required paperwork

  Yes

  No

  N/A

• Error codes

  Select Failed to obtain CBLS Obtained signed CBLS before flight arrival CBLS not signed Failed to obtain signed release Failed to obtain DR from Captain Failed to obtain WN-966 on originator Other

  • Failed to obtain CBLS
  • Obtained signed CBLS before flight arrival
  • CBLS not signed
  • Failed to obtain signed release
  • Failed to obtain DR from Captain
  • Failed to obtain WN-966 on originator
  • Other

• Did Agent properly handle gate checked items

  Yes

  No

  N/A

• Error Codes

  Items not added to CBLS

  Other

• Did Agent properly handle fueling process

  Yes

  No

  N/A

• Error Codes

  Select Did not verify fueling process fuel slip not recieved Did not input gallons added into EWB Did not check gauges in cockpit Did not confirm fuel on board with Flight Ops Other

  • Did not verify fueling process
  • fuel slip not recieved
  • Did not input gallons added into EWB
  • Did not check gauges in cockpit
  • Did not confirm fuel on board with Flight Ops
  • Other

• Did Agent perform final communication with Inflight

  Yes

  No

  N/A

• Error codes

  Did not confirm PAX count with Inflight

  Did not confirm names and final count of Ums

  Did not give Inflight the Specials report

  Other

• Was Agent wearing PPE upon arrival of A/C

  Yes

  No

  N/A

• Error codes

  Agent not wearing hearing protection

  Other

• Did Agent close flight out properly

  Yes

  No

  N/A

• Error codes

  Fight manifest not closed

  Wrong Flight Manifest format used (p*call)

  Flight manifest does not reflect designated flight

  Other

• Customer Service Standards Followed

  Yes

  No

  N/A

• Error codes

  Select Name tag not worn on lanyard Non approved uniformed pieces worn ( e.g. Dockers pants) Soiled/wrinkled/untucked uniform shirt Cell phone used (for personal use) Gum achieved in Customer contact areas Agent arrived to position late

  • Name tag not worn on lanyard
  • Non approved uniformed pieces worn ( e.g. Dockers pants)
  • Soiled/wrinkled/untucked uniform shirt
  • Cell phone used (for personal use)
  • Gum achieved in Customer contact areas
  • Agent arrived to position late

• Customer Interaction

  Yes

  No

  N/A

• Error codes

  Agent did not acnowledge the customer

  Agent did not make eye contact with customer

  Agent not approachable (eg. Tone of voice, body language)

• Scenario based service offered

  Yes

  No

  N/A

• Error codes

  Agent did not use available resources to assist customers

  No apology offered

  No effort made to resolve conflict with customers

  Agent not forthright with customers during irregular operations

• Customer Communication/Announcement

  Yes

  No

  N/A

• Error codes

  Select Established announcements not made Announcements not made every 15 mins during IREG No communication with Ops Agent re. Irregularities Ops Agent not announcing flight #/dest during boarding Agent not checking on wheelchair Cust every 30 minutes Weather Advisory message not made (if applicable)

  • Established announcements not made
  • Announcements not made every 15 mins during IREG
  • No communication with Ops Agent re. Irregularities
  • Ops Agent not announcing flight #/dest during boarding
  • Agent not checking on wheelchair Cust every 30 minutes
  • Weather Advisory message not made (if applicable)

• Pictures

  Media

Flight PPWK

• Adjustments to loading Schedule correct

  Yes

  No

  N/A

• Error codes

  Missing proper revision

  Hand written adjustments on Loading Schedule

  Other

• Takeoff Weight below ATOG

  Yes

  No

  N/A

• Error codes

  ATOG exceeded

  Other

• CBLS/Ops documentation correct

  Yes

  No

  N/A

• Error codes

  Select No CBLS No signature No employee Number Signed in wrong area Not legible Totals in box Other

  • No CBLS
  • No signature
  • No employee Number
  • Signed in wrong area
  • Not legible
  • Totals in box
  • Other

• Flight release signed

  Yes

  No

  N/A

• Error codes

  No signature

  Flight Release not included

  Other

• Flight Manifest documentation correct

  Yes

  No

  N/A

• Error codes

  Fight manifest ot included

  Flight manifest for wrong flight

  Wrong flight manifest included

  Other

• Matching fuel loading Schedule and Loading Summary

  Yes

  No

  N/A

• Error codes

  Fuel loads do not match

  Other

• Pax/Commodities reflect correctly on loading Summary/Loading Schedule

  Yes

  No

  N/A

• Error codes

  Select Pax count incorrect OEW incorrect Pax totals do not match Flight manifest weight missing from power wheelchair Items on CBLS but not loading Schedule Through load not reflected on Loading Schedule Fd bin totals incorrect Aft bin totals incorrect Heavy bags not listed on CBLS Heavy bags not listed on Loading Schedule Commodities reversed on Loading Schedule Missing Loading Summary Commodities reversed on Loading Summary Heavy bags not lifsted on Loading Summary CBLS and Loading Summary do not match CBLS Ops control section not complete Other

  • Pax count incorrect
  • OEW incorrect
  • Pax totals do not match Flight manifest
  • weight missing from power wheelchair
  • Items on CBLS but not loading Schedule
  • Through load not reflected on Loading Schedule
  • Fd bin totals incorrect
  • Aft bin totals incorrect
  • Heavy bags not listed on CBLS
  • Heavy bags not listed on Loading Schedule
  • Commodities reversed on Loading Schedule
  • Missing Loading Summary
  • Commodities reversed on Loading Summary
  • Heavy bags not lifsted on Loading Summary
  • CBLS and Loading Summary do not match CBLS
  • Ops control section not complete
  • Other

• Other

  Yes

  No

  N/A

• Pictures

  Media

Cargo Operations

• Quaterly audit on file and current? (In TSA Book)

  Yes

  No

  N/A

• Error codes

  TSA book not available for review

  Quaterly audit not available for review

  Quaterly audit not current (Only most current)

  Quaterly audit not conducted

  Other

• Screening log completed accurately

  Yes

  No

  N/A

• Error codes

  Select Screening log not available for review Screening log not completed Screening log not properly documented in CATTD Employee number or name not documented Initials used for names Type of screening ot indicated Other

  • Screening log not available for review
  • Screening log not completed
  • Screening log not properly documented in CATTD
  • Employee number or name not documented
  • Initials used for names
  • Type of screening ot indicated
  • Other

• Scale #1 calibration records current (include serial #)

  Yes

  No

  N/A

• Error codes

  Sticker Missing

  Scale calibration records not current

  Other

• Scale #2 calibration records current (include serial #)

  Yes

  No

  N/A

• Error codes

  Sticker Missing

  Scale calibration records not current

  Other

• Scale #3 calibration records current (include serial #)

  Yes

  No

  N/A

• Error codes

  Sticker Missing

  Scale calibration records not current

  Other

• Scale #4 calibration records current (include serial #)

  Yes

  No

  N/A

• Error codes

  Sticker Missing

  Scale calibration records not current

  Other

• Scale #5 calibration records current (include serial #)

  Yes

  No

  N/A

• Error codes

  Sticker Missing

  Scale calibration records not current

  Other

• Forklift driving procedures followed

  Yes

  No

  N/A

• Error codes

  Seatbelt not worn

  Agent driving at unsafe speed

  Agent performing unsafe operation of forklift

  Agent not properly trained

  Other

• Facility access properly controlled

  Yes

  No

  N/A

• Error codes

  Select Access to facility not properly monitored Unauthorized personnel alowed in restricted area Personnel piggy backing Personnel not properly displaying SIDS badge Personnel not following proper challenge procedures Access control features bypassed Escort procedures not properly followed security lines not properly painted Other

  • Access to facility not properly monitored
  • Unauthorized personnel alowed in restricted area
  • Personnel piggy backing
  • Personnel not properly displaying SIDS badge
  • Personnel not following proper challenge procedures
  • Access control features bypassed
  • Escort procedures not properly followed
  • security lines not properly painted
  • Other

• Radiation leak test in ETD log book

  Yes

  No

  N/A

• Error codes

  Radiation leak certificate not in ETD Log book

  Log book not available for review

  Radiation certificate not current

  Other

• Verific log complete for ETDs

  Yes

  No

  N/A

• Error codes

  Select Verific calibration log not available for review Verific calibration log not current Verific calibration log not completed Verific test document not available Verific test not performed according to procedures Receipt not attached Receipt does not match test document Test not compleetd as required Other

  • Verific calibration log not available for review
  • Verific calibration log not current
  • Verific calibration log not completed
  • Verific test document not available
  • Verific test not performed according to procedures
  • Receipt not attached
  • Receipt does not match test document
  • Test not compleetd as required
  • Other

• ETD screening according to procedures

  Yes

  No

  N/A

• Error codes

  Required number of swipes per piece not followed

• 1a. Shipments properly processed/weighed

  Yes

  No

  N/A

• 2a. HR weight properly verified

  Yes

  No

  N/A

• 3a. Agents understand how/when to contact 3E

  Yes

  No

  N/A

• 4a. Heavy cargo processes followed

  Yes

  No

  N/A

• 5a. Proper storage procedures followed

  Yes

  No

  N/A

• Pictures

  Media

Device Contractor

• Communication established between flight crew and device crew

  Yes

  No

  N/A

• Error codes

  WN-649 not being used

  WN-649 not being followed

  No communication established

  No comunication between Driver and Sprayer

  Other

• Sprayer wearing harness and secured

  Yes

  No

  N/A

• Error codes

  Not wearing harness while in bucket

  improper harness and/or lanyard

  Harness not secure

  Other

• Driver and sprayer qualified to perform deicing/ani-icing procedures

  Yes

  No

  N/A

• Error codes

  Driver not signed off on training record

  Sprayer not signed off on training record

  Other

• Fluid applied to all critical surfaces in accordance with procedures

  Yes

  No

  N/A

• Error codes

  Select Wing sprayed from trail to lead edge horizontal stabilizer sprayed loading snow on wing tip Fluid sprayed directly into engines Spray pointed directly at windows Fuid not applied to radome correctly fluid sprayed directly into static port applied fluid too far from surface not anti-icing representative first fluid applied to only one side incomplete coating of type iv other

  • Wing sprayed from trail to lead edge
  • horizontal stabilizer sprayed
  • loading snow on wing tip
  • Fluid sprayed directly into engines
  • Spray pointed directly at windows
  • Fuid not applied to radome correctly
  • fluid sprayed directly into static port
  • applied fluid too far from surface
  • not anti-icing representative first
  • fluid applied to only one side
  • incomplete coating of type iv
  • other

• Final fluid application start communicated to flight crew

  Yes

  No

  N/A

• Error codes

  Comm. not per checklist

  No comm. to flight crew

  Other

• Clean aircraft check completed and communicated to flight crew

  Yes

  No

  N/A

• Error codes

  Comm. not per checklist

  No comm. to flight crew

  Other

• Driving procedures followed

  Yes

  No

  N/A

• Error codes

  Boom not centered while truck in motion outside safety zone

  Driving faster than walking speed

  Driving path not followed

  Other

• Federal form binder available for review

  Yes

  No

  N/A

• Error codes

  Binder locked in office

  Unable to locate binder

  Other

• WN-1086 current for accepted contractor forms

  Yes

  No

  N/A

• Error codes

  WN-1086 Missing

  WN-1086 Out of Date

  Other

• WN-1034 filled out correctly for each contractor instructor

  Yes

  No

  N/A

• Error codes

  WN-1034 Missing

  WN-1034 Out of Date

  Other

• WN-1087 filled out correctly for SWA train the trainer class

  Yes

  No

  N/A

• Error codes

  WN-1087 missing

  WN-1087 Out of Date

  Other

• WN-654 attachment included

  Yes

  No

  N/A

• Error codes

  WN-654 Attachment Missing

  WN-654 Attachment Out of Date

  Other

• Glycol acceptance records properly completed

  Yes

  No

  N/A

• Error Codes

  No record matches to fluid delivery

  Employee not signed off

  Incorrect Revision Date

  Other

• Fluid testing records properly completed

  Yes

  No

  N/A

• Error codes

  Fluid test missing

  Refractometer not calibrated

  Employee not trained

  Incorrect revision

  Other

• Refractometer calibration records properly completed

  Yes

  No

  N/A

• Error Codes

  No calibration records

  Periodic testing not completed

  Employee not signed off

  Incorrect revision date

  Other

• Fluid application records properly completed

  Yes

  No

  N/A

• Error Codes

  No application records

  Employee not signed off

  Incorrect revision date

  Other

• WN-1087 properly accepted

  Yes

  No

  N/A

• Error codes

  Active Employee not on record

  Instructor not signed off

  Training record out of date

• Changes made to WN-1085 and sent to winteropsboards@wnco.com

  Yes

  No

  N/A

• Pictures

  Media

Environmental

• Spill Kits complete

  Yes

  No

  N/A

• Waste Stored properly

  Yes

  No

  N/A

• Potable water cabinets properly maintained

  Yes

  No

  N/A

• Potable water trucks/carts properly maintained

  Yes

  No

  N/A

• Powercord heads in good condition

  Yes

  No

  N/A

• WN-1035A filled out and retained for 12 months

  Yes

  No

  N/A

• WN-1035B filled out and retained for 5 years

  Yes

  No

  N/A

• WN-1055 filled out and retained for 12 months

  Yes

  No

  N/A

• WN-1102 filled out and retained for 12 months

  Yes

  No

  N/A

• Damage investigation kit readily available

  Yes

  No

  N/A

• Pictures

  Media

Sign Off

• Enter the date and time

  Date

• Comments

• Represenattive Signature

  Sign

• I certify the questions, as stated above, we're satisfied at the time of the inspection, unless otherwise noted.

  Yes

  No

  N/A

• Auditor Signature

  Sign