Health Safety

Hazard Observation Card

Quick card to identify hazards

Use this Template

Print as PDF

Use this Template

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Information

Audit Title
Document No.
Client / Site
Conducted on
Prepared by
Location
Personnel

Select date
Team Member Observed

Unsafe Conditions

Trip/Slip Hazard
Housekeeping
Equipment
Other
List unsafe conditions observed

Unsafe Behaviors

Body Position
Safe Procedures
Eyes on Task
Mind on Task
Other
List unsafe behaviors observed
Signature of Observer

Health Safety

Hazard Observation Card

Quick card to identify hazards

Use this Template

Print as PDF

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.