Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Manager Sign-Off



  • Review Gensuite Compliance Calendar. Complete assigned tasks and look ahead for any prep work for tasks that occur later in the week or month.

  • Perform Safety Walk/GEMBA of area

  • Collect Safety Observations, Engagements, Risk Prediction Forms. Audit for detail, accuracy, tracking, and follow-up if necessary.

  • Injury Follow-ups/Corrective Action Follow-ups/Verifications

  • Admin Time (Gensuite Data Entry, File Folders, Records Reviews, etc.)


  • Attend Safety First Meeting

  • Attend passdown (Tier I Meeting) (rotate through different departmental Tier I if necessary)

  • Off-Shift Safety Check (one/day per week come in early or stay late for non-traditional shift visibility). Work with your Plant Mgr. to determine the most appropriate time frame.

  • Meet with Plant Mgr. to (a) Review findings from Standard Work and (b) cover safety trends, high risk near miss events, observation trends, etc.

  • Update any Site Safety Metrics on Metrics Trackers

  • Conduct New Hire EHS Orientation (if needed)


  • Reviews FSOs and enter summary in Gensuite - and initiate required corrective actions

  • Attend Corporate EHS Meetings

  • Inspect Waste Storage Areas

  • Complete Air Emission Calculation Report

  • Change Out Daily Powered Industrial Truck Checklists


  • Complete Stormwater Inspection

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.