| Project Name | |
|---|---|
| Contract Number | |
| Contractor | |
| Site Location | |
| Date |
| Item | Status (Yes/No/N/A) | Remarks |
|---|---|---|
| All equipment and machinery removed from site | ||
| Temporary structures dismantled | ||
| Waste and debris cleared | ||
| Materials returned or disposed | ||
| Utilities (power, water, etc.) disconnected | ||
| Site restored to original or agreed condition | ||
| Site inspected and approved by client |
| Contractor Representative | Date |
|---|---|
| Client Representative | Date |