Information

  • Document No.

  • Cost Center Number

  • Location Name

  • Conducted on

  • Prepared by

  • Location
  • Contact name/title at location

    Flammable Liquids Storage
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Unguarded Tanks
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Unguarded Equipment
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Seed Treating Operation
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Fertilizer Doors
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Ladder use/Work at Height
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Equipment Storage
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Mobile Equipment
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Product Delivery & Forklift Use
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Electrical Hazards
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Site Access
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Railroad Crossings
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Rail Use - Operations, Use, Condition
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Non-operational Storage
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • Seasonal Exposures (annual or infrequent occurrence)
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

  • All Other Exposures
  • Describe

  • Add media

  • Severity

  • Describe

  • Frequency

  • Describe

  • Operational Impact

  • Why does exposure exist?

  • Recommendation

  • Exposure impact?

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.