Title Page

  • Conducted on

  • Persons involved?

  • Park

  • Pitch ID

  • Equipment used?

  • Park

  • Route

  • Route

  • Route

  • Condition of equipment?

  • Make, model and serial number

Obstacles

  • Camber of road

  • Trees

  • Parked Cars

  • Other Units

  • Pedestrians

  • Other Obstacles

  • Obstacles Images

  • Risk factor (1-low risk, 5-high risk)

  • Management of risk

  • Notes (changes to planned route, future changes)

  • Weather conditions

  • Completed by?

  • Date and time of completion

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.