Title Page

  • Department

  • Conducted on (Date and Time)

  • Inspected by

  • Location
  • List down the names of participants


  • Ask the following questions:

  • What are you doing now?

  • Is there an established, documented standard process for completing this activity?

  • What are the challenges do you face?

  • How do you identify a challenge?

  • What can you fix?

  • What can't you fix?

  • Who do you speak to when something goes wrong?

  • Do you use a visual management board?

  • • Is it useful?

  • • Elaborate why


  • Observations and Recommendations

  • Full Name and Signature of the Inspector

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.