Title Page

  • Site

  • Document No.

  • Job Number

  • Client

  • Date

  • Prepared by

Personnel on site

  • Client Team Leader

  • HEC team leader

  • HEC personnel on site

Personnel off site

  • HEC personnel off site

  • Reason for personnel off site

Team Leader to confirm the following for all personnel:

  • Have completed HEC digital Take 5 Risk Assessment

  • Have signed on to Client Prestart

  • Are wearing appropriate PPE for site

  • Have updated XeroMe Timesheet

Site Diary

Issues or Incidents: (Environmental, Safety, Stop Work, Near Misses, etc.)

  • Please describe:

Notes, Progress, General Remarks, Delays, Observations, Technical Issues

  • Please describe

Close out

  • Sign off

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.