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  • Reporting hazards, near misses, unsafe acts & conditions.

  • If you see something on site or in the office that is not right, please take action. You may be able to fix it easily there and then, or make it safe and prevent a potential accident.

  • We should always aim to make something safe where it is safe to do so (e.g. remove a defective sling from site, remove a trip hazard, ensure a ladder is secured correctly, etc.)

  • Following your immediate action, consider if work should stop, the issue can be fixed, or work can continue safely

  • Please report your observations so that we can learn from them.

  • Please select a business unit

About you and your report

  • Name

  • Date

  • Time

  • Project name

  • Site or location

Categorise the issue

  • What category does your report fall under?

  • Sub-category

Describe the issue

  • Describe the event or condition

  • Immediate actions taken including any preventative actions

  • Please upload one or more photos/videos to help visualise the issue

  • Can we work safely now/ have we made the right choice?

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.