Information

  • Month

  • Conducted on

  • Attending Safety Walk Team Members

  • Guest Walk Team Members

  • Attending Area Leadership Name(s)

  • Comment(s)

Safety Items:

  • 1. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 2. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 3. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 4. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 5. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 6. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 7. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 8. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 9. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 10. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 11. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 12. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 13. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 14. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 15. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 16. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 17. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 18. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership and sent prior to next inspection):

  • 19. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 20. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 20. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next inspection):

  • 21. Safety Item Found?

  • Description of Hazard:

  • Photo?

  • Imminent Hazard?

  • Work Notification Number?

  • Final Resolution (to be answered in this spot by leadership prior to next 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.