Title Page

  • Company Name

  • Location
  • Project Title

  • Contract Number

  • Date and Time

  • Prepared by

  • Location and description of workplace inspected

  • Date and time of inspection

  • Matters observed that give rise to any health and safety risks

  • Details of action taken at time of inspection

  • Details of any further action considered necessary

  • Name and signature of inspector

  • Position

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.