Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Task / Activity Description

  • Persons Involved

  • Is the employee/contractor performing the task trained and authorised in the use of the tools and equipment?

  • Are all the correct tools and equipment available to perform the task?

  • Are the correct tools and testing devices for the job at hand being used and safe for use?

  • Are the tools/equipment safe to work on and in good condition?

  • Are the tools/equipment checked prior to use?

  • Are tools/equipment used according to procedure?

  • Is the correct PPE being used while using the tools/equipment?

  • Is the work area in clean and safe condition?

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.