Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Person Reporting

  • Location/Outlet
  • Date Hazard/Incident occurred

  • Take a photo of the Hazard/Incident

  • Subject

  • What happened

  • Additional information

  • What is the likelihood of an injury

  • Consequence of the injury

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.