Title Page

  • Conducted on

  • Prepared by

  • Location

Minor Deviations

    Incident
  • Incident # (g0000)

  • Incident Date

  • Report Source

  • Rapid Risk Assessment (Follow Risk Assessment Decision Tree)

  • Description of Deviation

  • Immediate Corrective Action(s) (C.A.) taken

  • Was C.A. effective?

  • Initiate CAR

  • Code

  • Assessor's Name & Signature

Verification

  • Verified on

  • Verified by

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.