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Appendix: On-Site Survey Checklist
Completed by: ____________________ Date: __________
Client name: ______________________
Contact person: ______________________
Phone number(s): ________________________________________
Location address: ______________________
City__________ State_____________ Zip______________
is survey is used to conduct risk assessment of specified client loca-
tions. e surveyor/survey team should have a copy of the presurvey
data on arrival at the site. Observe the physical and environmental
conditions and operational procedures at each location. Interview the
appropriate client personnel to complete the survey form. Comment
on any high-risk situations as well as recommended actions.
I. Type of Facility
Construction Office ...