Site Visit Evaluation Checklist

Site Visit Evaluation Checklist
Date of Visit
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Site Location
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Evaluator Name
First NameLast Name
Safety Compliance
Cleanliness and Organization
Equipment Condition
Comments and Observations
Should be Empty: