This blank template demonstrates a closeout structure. It is not a customer project record.
Project: ____________________ Site: ____________________
Scope revision: ______________ Reviewer: ________________
| Evidence | Reference / finding | Review status |
|---|---|---|
| Approved scope and completed tasks | ________________________ | Pending / accepted / follow-up |
| Readiness and access checks | ________________________ | Pending / accepted / follow-up |
| Labeled installation photographs | ________________________ | Pending / accepted / follow-up |
| Applicable test and validation results | ________________________ | Pending / accepted / follow-up |
| Equipment, serial and port records | ________________________ | Pending / accepted / follow-up |
| Exceptions, approvals and disposition | ________________________ | Pending / accepted / follow-up |
| Acceptance reviewer and date | ________________________ | Pending / accepted / follow-up |
Accepted / Follow-up required: __________________________
Outstanding item, owner and due date: ____________________