Equipment Safety Inspection Corrective ActionBy Jennifer Filgate / June 30, 2025 Equipment Requiring Maintenance *Date / Time *Assessed by *Position SupervisorSafety Officer1. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 2. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 3. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 4. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 5. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 6. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 7. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 8. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 9. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom 10. Problem Description Priority LowMediumHighRecommended Action Action Taken Date / Time By Whom Was the Deficiency Corrected? YesNoCopies To: (For information) Office Manager's Signature Date WebsiteSubmit Save and Continue
