Information

  • PALMS Inspection Report

  • Licensed Premises/Site

Inspection Details

  • LGA:

  • Activity:

  • Officer:

  • Other Officers/People Present:

  • Reason for Inspection:

EPA Job Safety Analysis

  • Prior to attending the site I undertook a Take 5 safety check and reviewed the EPA's Field Work job safety analysis (JSA).

DETAILS OF INSPECTION:

  • Site Address:
  • I arrived on site at approximately:

  • During the inspection I made the following observations:

  • During the inspection I took the following photos:

FOLLOW UP ACTION:

  • Are there any follow up actions required?

  • Follow up actions:

Leaving the site

  • I left the site at:

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.