SITE OBSERVATION REPORT

Project Name: Report No.:

Raised To: Raised By:

Package : Area/Location

Raised Date:
Observation(s)
Observatio
Observation Description Target Date
n No.:

Originator Name Position/Company Signature Date

Corrective Action(s)
Observatio
Corrective Action Action Date
n No.:

Print Name Position/Company Signature Date

Closing of Observation
Observatio
Close-out Remarks Closed Date
n No.:

Originator Name Position/Company Signature Date

Contractor Name: Contract No:
Package/Section: SOR Serial:
Picture 1. Description of Site Observation :

Picture 2. Description of Site Observation: