Title Page

  • Site conducted

  • Select Campus Name

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Select Building

  • Conducted on

  • Location (Room No)

  • Prepared by

  • Name of Contractor

  • Enter the Work Order Maximo Number

  • Description of Works required

  • Is this a desktop Audit?

  • Is there a stated Asset number on the Maximo

  • add asset to Maximo

  • Stated Work Type

  • Is this the correct Work Type?

  • Stated Work Order Priority

  • Is this the correct Priority?

  • Has approval been given?

  • Are the Works complete as per description?

  • Target start date met

  • Target completion date met

  • Was the Work completed within the Priority timeframe?

  • Capture pictures of the completed work

  • Additional comments

Problems

  • List any omissions or defects identified from your inspection

  • Evidence

Sign off

  • Add signature

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.