Information

  • Diary Owned by By

  • Year Covered

  • Contact Details

  • Audit Title

  • Document No.

January

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

February

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

March

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

April

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

May

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

June

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

Manager Review Mid Year

  • Date of the Managers Review:

  • Reviewing Manager:

  • Site Business Unit:

  • Site Induction Completed:

  • Leadsafe Observations: (8 per Month)

  • Toolbox Sessions: (Monthly)

  • Planned Inspections: (2 Per Year)

  • Walk Arounds: (2 Per Month)

  • Fresh Eyes: (Opportunitiy)

  • Other Constructive Feedback:

  • Reviewing Managers to Sign:

  • Journal Owner to Sign:

July

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

August

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

September

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

October

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

November

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

December

    Do you wish to add a Leadsafe (Click the add button to the right for each leadsafe you wish to add).
  • Date and Time of the Discussion:

  • Participants:

  • Observations:

  • Add Media From Observation if applicable:

  • Agreed Actions:

  • Follow Up / Review:

  • Date of Follow-Up / Review:

  • Add Media From Follow-Up / Review if applicable:

Managers Review End of Year

  • Date of the Managers Review:

  • Reviewing Manager:

  • Site Business Unit:

  • Site Induction Completed:

  • Leadsafe Observations: (8 per Month)

  • Toolbox Sessions: (Monthly)

  • Planned Inspections: (2 Per Year)

  • Walk Arounds: (2 Per Month)

  • Fresh Eyes: (Opportunitiy)

  • Other Constructive Feedback:

  • Reviewing Managers to Sign:

  • Journal Owner to Sign:

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.