Information

  • Document No.

  • Client / Site

  • Issue Date

  • Prepared by

  • Location

STOP WORK DETAILS

Stop Work Form This form is to record action taken to stop work due to safety issues / concerns. Discuss these concerns with the client and try to resolve successful. Don't Look the Other Way

  • If possible take a picture of the cell / location / area of work / situation causing the Stop Work Action.

  • Describe the Stop Work Situation

  • Add Sketch here if required.

  • Can the situation be made safe?

  • Confirm that you are stoping the work

  • Describe actions to make activity safe

  • Confirm that it is safe to continue work

  • Has a representative of the customer been made aware? If Possible get customer to sign to show agreement to stop work.<br>Record any further relevant details, photos etc.

  • Inform Customer. Record details of who you have informed.

  • Customer Signature if Possible

  • Record details of who you have informed

  • Customer Signature if Possible

  • Record details of any agreed actions to be taken

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.