• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Safety Observation report

  • Task Observed

  • Work order number

  • Work Group


  • PPE used as required

  • JSA or other procedures on site

  • Appropriate behaviour shown on site

  • Personnel trained to complete the task


  • Tools appropriate for task

  • Tools/plant Inspected before use

  • Gear maintained / sreviced

  • Electrical safety issues


  • Access and egress

  • Good housekeeping

  • Noise, dust, odour, discharge controlled

  • Storage of fuels and chemicals inplace

  • Waste Management controlled

Follow up Actions

  • Follow up 1

  • Follow up 2

  • Photos for follow ups

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.