IMAC Manager

Clearance Certificate

To be done every day for every job.

Use this Template

Print as PDF

Use this Template

Title Page

Site (e.g. 999-1001 Site Name)
Inspection Type
Task
Other:
Conducted on
Prepared by
Location

Pre Work

This section is to be completed before work starts
General Method Statement
General Risk Assessment
Risk Level
Hazard
Control Measure
Site Register has been signed
Site Operator has seen the Safety Method Statement
Site Operator has seen the Safety Risk Assessment
Site Representative Signature
Engineer Signature

Post Work

This section is to be completed after the task has been safely completed
Site Representative Signature
Engineer Signature

IMAC Manager

Clearance Certificate

To be done every day for every job.

Use this Template

Print as PDF

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.