SPV iPad

Management Safety Visits
2). Date

3). Visit conducted by

4). Participants

5). Worksite

6). Activity

7). Personnel met

Observations

Add Observation

8). Observation 1

9). Type

11). Corrective actions acknowledged

12). Immediate

10). Answers discussions

Add photo of Observation

Add Next Observation

8). Observation 2

9). Type

11). Corrective actions acknowledged

12). Immediate

10). Answers discussions

Add photo of Observation

Add Next Observation

8). Observation 3

9). Type

11). Corrective actions acknowledged

12). Immediate

10). Answers discussions

Add photo of Observation
Deferred

Person in charge

Deadline
16). Conclusions

PP: Positive point DA: Dangerous action DC: Dangerous condition

17). PP

18). DA

19). DC

20). Total

21). Signatures
22). Person met
23). Visiting advisor
24). Site supervisor

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.