Title Page

  • Activity

  • Personnel present

  • Department

  • Conducted on

  • Prepared by

  • Location
  • Weather Conditons

  • Is the correct PPE in use?

  • Is the equipment serviceable?

  • Has the staff member/s read the relevant risk assessment/s?

  • H&S Compliance Officer Name & Signature

  • Date of signature

  • Name & Signature of Manager responsible for Department

  • Date of signature

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.