Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Observation

  • IMMINENT DANGER

  • What immediate corrective action was taken?

  • Action(s) to prevent recurrence

Direct cause (check those that apply)

  • Unsafe act

  • Safe act

  • Unsafe condition

  • Safe condition

Basic cause due to organizational failure to:

  • Plan

  • Direct

  • Organize

  • Control Human and material resources

Indirect cause(s) due to lack of:

  • Training

  • Resources

  • Belief

  • Signature

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.