Title Page

  • Conducted on

  • Prepared by

  • Site address
  • Location
  • add all the areas the report will cover

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing like.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

  • Do you have another location?

  • Enter a name of the floor/area you are assessing.

  • Take a picture of the item.

  • Add a comment about what you have photographed and the condition of the item you are assessing.

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.