Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Risk Assessment

  • Required Personal Protective Equipment (PPE) for this activity is available and will be used

  • NOTE: Do not undertake this activity if the required PPE is not available for use - Discuss with your supervisor.

  • Risk assessment for this activity has been read and understood

  • Are there any specific risks identified with the property?

  • NOTE: If the risk cannot be eliminated/controlled and/or is unsafe, DO NOT undertake the activity - Discuss with your supervisor.
    If during the activity risks are identified and it is unsafe to continue, abandon the activity - Discuss with your supervisor.

Business details

  • Trading name

  • Phone

  • Email

  • Person interviewed

  • Application Number

Reinspection findings

  • Add media

  • Select date

  • Add media

  • Select date

  • Add media

  • Select date

  • Add media

  • Select date

  • Add media

  • Select date

Reinspection results

  • General comments

  • Inspection rating

  • Further action required

  • Reinspection required

  • Documents to be submitted to Council

Council details

  • Name of officer

  • Phone: (02) 9911 6555
    Fax: (02) 99116550
    Email: council@canadabay.nsw.gov.au

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.