Blank working form. Print or save a local copy. No information is submitted to this website. Use references to retained evidence and preserve unanswered questions.
1. Property reference and work area
2. Observed condition, date and evidence reference
3. Options considered and scope revision
4. Open question and person responsible
5. Approval date, approver, amount and document
6. Change reason and authorization reference
7. Completion evidence and remaining exceptions
8. Next review date
Prepared for personal recordkeeping. This worksheet does not certify condition, approve work or replace a qualified professional review.