What sites have you visited this reporting month?
Corrective actions required
List LeadSAFE Conversations that have taken place this reporting month
List those Investigations that remain open for this reporting month
HSE Field Report
To be completed on a monthly basis by HSE Field Advisors
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
or other applicable laws. You should also seek your own professional advice to determine if the use of such
permissible in your workplace or jurisdiction.