Inspection Effectiveness Evaluation Form
Please complete this form to evaluate the effectiveness and quality of the recent inspection.
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector's Full Name
*
First Name
Last Name
Department or Area Inspected
*
Type of Inspection
*
Please Select
Routine
Follow-up
Special Audit
Other
Inspection Criteria Evaluation
*
Rows
Excellent
Good
Fair
Poor
Thoroughness of inspection
1
2
3
4
Timeliness of inspection
5
6
7
8
Communication during inspection
9
10
11
12
Accuracy of findings
13
14
15
16
Documentation quality
17
18
19
20
Adherence to procedures
21
22
23
24
Overall Effectiveness Rating
*
1
2
3
4
5
Were all identified issues addressed during the inspection?
*
Yes
No
Partially
What were the strengths observed during the inspection?
What areas require improvement?
Additional Comments or Recommendations
Submit Evaluation
Should be Empty: