GLASS REGISTRY & INSPECTION

DOC # 144
CHECKLIST
COMPANY LOGO Prepared by: COMPANY NAME. Approved by:

Revision 1.0 Date: Page 1 of 2

Location:
Area Item Description Quantity Good Repair?
Surrounding Area Cameras 2 Yes / No
Location:
Area Item Description Quantity Good Repair?
Windows 3 Yes / No
Office
Door Windows 1 Yes / No
Windows 3 Yes / No
Cafeteria
Door Windows 1 Yes / No
Bathroom Mirrors 4 Yes / No
Overhead Door Windows 4 Yes / No
Surrounding Area
Overhead Door Windows 6 Yes / No
Cameras 5 Yes / No

Location:
Area Item Description Quantity Good Repair?
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No

Location:
Area Item Description Quantity Good Repair?
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No

Location:
Area Item Description Quantity Good Repair?
Yes / No
Yes / No

Location:
 GLASS REGISTRY & INSPECTION
DOC # 144
CHECKLIST
COMPANY LOGO Prepared by: COMPANY NAME. Approved by:

Revision 1.0 Date: Page 2 of 2

Area Item Description Quantity Good Repair?

Yes / No

Location:
Area Item Description Quantity Good Repair?
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No

Corrective Actions

Conducted by: Date:

(print name)