Information

  • Job number

  • Site address
  • Conducted on

  • Prepared by

  • Description of work activity

  • Location within work site

  • Details of risks from hazard

  • Immediate/ temporary actions taken

  • Is there a current SWMS?<br>Last review date?<br>If no SWMS, why not

  • Controls or actions recommended

  • HSR and other effected employees consulted during above process

  • Any potential impact on other activities?

  • Entered into CAR?

  • Add 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.