Daily Walkaround

• Conducted on

  Date

• Prepared by

Walkaround 1

• Enter details and notes from walk around: Start / End times, Locations, individuals spoken to

• Any incidents, Near Misses reported?

  Yes

  No

  N/A

• Please provide details

• Any Positive interventions or Safety conversations?

  Yes

  No

  N/A

• Please provide details

• Any other observations / comments?

Walkaround 2

• Enter details and notes from walk around: Start / End times, Locations, individuals spoken to

• Any incidents, Near Misses reported?

  Yes

  No

  N/A

• Please provide details

• Any Positive interventions or Safety conversations?

  Yes

  No

  N/A

• Please provide details

  Yes

  No

  N/A

• Any other observations / comments?

  Yes

  No

  N/A

Walkaround 2

• Enter details and notes from walk around: Start / End times, Locations, individuals spoken to

• Any incidents, Near Misses reported?

  Yes

  No

  N/A

• Please provide details

• Any Positive interventions or Safety conversations?

  Yes

  No

  N/A

• Please provide details

• Any other observations / comments?

Conclusions / Actions Needed

• Conclusions and actions needed:

• Add signature

  Sign