Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Job Number

  • Job Name

  • Report Prepared By

  • Floor

  • Area

  • Corridor

  • Room Number

  • Excavation is proper depth?

  • Photo of excavation

  • Bedding material is per spec?

  • Pipe Properly aligned at joints?

  • All pipe is marked for insertion depth into fittings?

  • Pipe sizing verified per shop drawings and contract?

  • Pipe slope verified per drawing?

  • Trap arms properly supported?

  • Pipe sleeved if required?

  • All pipe and fittings tested?

  • All riser dimensions verified per shop drawings?

  • All risers wrapped coming thru concrete?

  • Photo of wrapped riser

  • All floor sinks/drains blocked out?

  • All risers to water closet carriers blocked out?

  • Trap primer lines installed to all drain traps?

  • Trap primer lines wrapped per spec?

  • Pictures taken to document installation?

  • Photos of installation

  • Backfill material per spec?

  • Backfill compaction meets spec?

  • Area Clean and left as it was found?

  • Photo of work area

  • Inspection drawings complete and signed?

  • Photos of inspection drawings

  • Pour watch complete and risers verified?

  • Notes, Impacts, or Comments

  • Signature of report preparer

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.