LOCATION: __________________________________________________________________ UIC: _________________________________________________________________________ DATE: _______________________________________________________________________ SURVEYOR(S): _______________________________________________________________ NO. COMPLETE: NO. REQ ACTION: (REPEAT OFFENDERS:______) ______ _______ NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______ REQ TOTAL TOTAL NOT PART COMPLETED ACTION/RPT UNABLE TO APPLICABLE OFFENDER INSPECT A - ADMIN / B - TRAINING / C - SCUBA / D - AIR SYSTEM & STOWAGE / E - SUPPORT BOAT /
LOCATION: __________________________________________________________________ UIC: _________________________________________________________________________ DATE: _______________________________________________________________________ SURVEYOR(S): _______________________________________________________________ NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______) NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______ PART COMPLETED REQ ACTION/RPT OFFENDER TOTAL UNABLE TO INSPECT TOTAL NOT APPLICABLE A - ADMIN / B - TRAINING / C - SCUBA / D - AIR SYSTEM & STOWAGE / E - SUPPORT BOAT /
AirForce_Assess_Chklist.docx