• Name of Observer

  • Site Area

  • Conducted on

  • Job Task/s being preformed


  • Has Daily Tool Box Meeting taken place

Food safety and GMP

  • Appropriate protective clothing in use

  • Hair Nets / Beard Nets being worn

  • Footwear Appropriate

  • Jewellery and Watches removed

  • Work Area clean from possible foreign matter

General Safety

  • Induction Current

  • Vehicle Permit displayed?

  • Been taken through Cobden Flight Card

  • Access to First Aider List

  • Nearest First Aid Kit / stocked

  • Nearest evacuation point ( point out )

  • Fire Extinguishers, accessible and current

  • Can demonstrate who to report events to


  • Aisles/Walkways kept clear?

  • Work area kept organized?

  • Housekeeping: spills, cords or other trips, trash/clutter, lighting, or Flammables

Personal Protective Equipment

  • All appropriate equipment or gear worn correctly?

  • PPE kept in good condition?

  • Personal protective equipment: hand, body, eyes/face, head, foot, respiratory, fall protection, hearing protection, or FR clothing/gear

Working Position

  • Body position

  • Location in working environment

  • Working Position: poor posture, over stretched, above shoulder, below knees, twisting, caught in between, struck by, working at heights greater than 4', floor or wall opening, unprotected work edge, or false ceiling or floor.

Tools and Equipment

  • Appropriate tools or equipment being used?

  • Tools or equipment being used correctly?

  • Tools or equipment in good condition?

  • Tools and equipment: ladders, power or hand tools

Safe behaviors observed-actions taken to encourage safe behavior

Unsafe behaviors observed-action taken to correct and prevent recurrence

Line of fire. Is the worker in the line of fire?

  • Grinding or drilling operations creating flying objects or particles - goggles/face-shield. Heavy equipment movement in the area - operator aware of pedestrian? Around rigging operations - hand in pinch point not under equipment? Working in front of live electrical panel - NFPA70E PPE

Safety procedures

  • Permits in place (Lock-out/Tag-out, Arc Flash, Hot Work Permit, Confined Space)

  • Permits / JSEA displayed in work area

  • Add media

  • Auditor signature

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.