Information

  • Conducted on

  • Client / Site

  • Location
  • Prepared by

  • Category / Description / rev

Key indicators

  • Was SP visible on approach

  • Reason SP not visible on approach

  • Was the SP compliant with PSS code of conduct

  • Disciplinary

  • Verbal warning details

  • Written warning details

  • How long did it take for SP to respond

  • Reason for SP delayed response

  • Disciplinary

  • Verbal warning details

  • Written warning details

Uniform and PPE

  • The SP must be wearing full uniform in accordance with PSS code of conduct. All non conformance are subject the the relevant disciplinary action.

  • High visibility jacket / vest

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • White shirt

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • Black trousers

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • Safety shoes

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • SIA license on display

  • SP advised written warning will be issued (impliment on return to HQ)

  • ID badge on display

  • SP advised written warning will be issued (impliment on return to HQ)

  • Relevant PPE being worn

  • Enter non compliance

  • Torch onsite & in full working order

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

Equipment onsite (check for defects/tamper enter details in At Risk if relevant)

  • SP in possession of Active Guard patrol device

  • Patrol Device being used in accordance to PSS policies

  • Disciplinary

  • Written Warning details

  • Verbal Warning details

  • SP in possession of Lone Working phone

  • Lone Working phone being used in accordance to PSS policies

  • Disciplinary

  • Written Warning details

  • Verbal Warning details

Documentation

  • Project instructions on site

  • Draft number

  • Take photo of signed declaration

  • Has the SP signed declaration

  • Issue verbal warning

  • Risk assessment on site

  • Staff book hand book on site

Tool box talk / information delivered to SP

  • Did the Inspector provide a tool box talk or deliver addition information to SP

  • Subject / reference

  • SP confirms he / she has read and fully understood the information conveyed

Patrol routes

  • Patrol route walked with SP

  • All check points present with no sign of tamper

  • Details of checkpoints missing or showing sign of tamper

  • Number of checkpoints onsite

  • Number of checkpoints corresponds with Project Instructions

  • Reason for number of checkpoint discrepancy

  • Additional checkpoints added / Check points relocated

  • Number of checkpoints added / relocated

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

  • CP number/reference & location details

  • Take 2 pictures of CP (1 showing area of location / 1 showing close up of CP)

Notes / Comments

  • SP comments

  • SP comments related media if required

  • Inspector comments

  • Inspector comments related media if required

  • SP photo (must be wearing all uniform/PPE, displaying SIA licence & ID badge

  • SP on duty

  • Inspector

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.