Title Page

  • Site conducted

  • Principal Contractor

  • Project

  • Date of observation

  • Location of observation

  • Person completing this

Details of Event

  • Potential Risk Rating

  • Details of hazard / unsatisfactory act, omission or condition / observation

Corrective action/Close out

  • Details of immediate corrective action taken to rectify the observation

  • Is any additional/follow-up action required

  • Details of additional/follow up action to be completed

  • Was disciplinary action necessary

  • Details of disciplinary action taken

Confirmation

  • To help prevent the spread of infection, including the Covid-19 virus, Allma personnel are requested not to sign shared registers. The person undertaking the discussion (noted below) should record the participants below and sign as confirmation that a corrective action discussion has been undertaken.

  • I confirm that a corrective action discussion has been carried out with the person(s) named below, and that they understand and agree to comply with the corrective action(s) noted.

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

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.