Title Page

  • Site conducted

  • Location:
  • Inspected by:

  • Inspection Date:

  • Signature:

  • Electricity

  • Vehicles

  • Machinery

  • Tools

  • Equipment

  • Pressure

  • Stored Energy

  • Noise

  • Chemicals

  • Environment

  • Procedures

  • Methods

  • Materials

  • Hot/Cold Objects

  • Ergonomics

  • Access/First Aid/Muster

  • Dust

  • Vibration

  • Height

  • Exposed/Sharp Edges

  • Depth

  • Weather

  • Fatigue

  • Hygiene

  • Housekeeping

Hazards

  • Hazard Description:

  • Risk Score

  • Action Required:

  • Allocated To:

  • Due Date:

  • Hazard Description:

  • Risk Score

  • Action Required:

  • Due Date:

  • Hazard Description:

  • Risk Score

  • Action Required:

  • Allocated To:

  • Due Date:

  • Hazard Description:

  • Risk Score

  • Action Required:

  • Allocated To:

  • Due Date:

  • Hazard Description:

  • Risk Score

  • Action Required:

  • Allocated To:

  • Due Date:

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.