Site Visits

What sites have you visited this reporting month?

Visited Sites

Business Unit


Observed positives

Corrective actions required

LeadSAFE Conversations

List LeadSAFE Conversations that have taken place this reporting month

LeadSAFE Conversation

Select Business Unit

Enter date


Employee Name

Behaviours observed

Open Investigations

List those Investigations that remain open for this reporting month

Open Investigation

Select Business Unit

Who for


Brief description

Due date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.