Contractor Field Assessment
Field Observation
Your Name:
First Name
Last Name
Email:
example@example.com
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Wellsite/Location
Contract Company Observed
Observed Deficiencies
*
Upload Image(s)
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Notes
Is corrective action necessary?
Yes
No
Describe Follow-up or Corrective Action taken
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Assessment %
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