Peter Stanley

Incident Safety Survey

For use during Peter Stanley Training courses

Use this Template

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Use this Template

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Select date
Add location
Draw an outline plan of the incident sectorisation.
Have you created a Safety Sector?
PPE
Is the PPE appropriate for the hazard and risk
Is PPE being worn correctly on the incident ground?
Signs of building collapse
Are any of the signs listed present?
Working on or near water
If crews are working on or near water is a safe system of work in operation?
Working at Height
If crews are working at height is a safe system of work in place?
Building Services
Which of the following services been isolated?

Peter Stanley

Incident Safety Survey

For use during Peter Stanley Training courses

Use this Template

Print as PDF

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.