Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Prepared by

  • Location

General Information

  • Department

  • Description of work

  • List of participants

Analyzing processes

  • What is the standard or process to which you are working?

  • Do you think the standard or process is clear?

  • What are we doing to meet the standard or process?

  • What is the goal we’re trying to achieve with this process?

  • What can we do to improve the process?


  • What can we do to flag nonconformances immediately so we can implement corrective action?

  • What kind of problems are you running into here?

  • Why is this a challenge?

  • What have you done to determine the root cause?

  • What is the next step?

Tools and resources

  • Are our data and charts up-to-date?

  • Do you have everything you need for this process?

  • Kindly specify your needs

  • What would help break down barriers to solving problems?

Continuous improvement

  • What is today’s priority and why?

  • What do you intend to improve today?

  • Are there any other question(s) you want to raise?

  • List down your question(s)


  • 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.