Title Page

  • Conducted on

  • Prepared by

  • Location
  • What is the area being audited?

  • Please enter names of auditors

    Hazard Observation
  • Describe the Location (Department/Equipment/Nearby Columns, Etc)

  • Describe the hazard observed.

  • Describe the recommended action

  • Take a photo showing the condition.

  • If this is an urgent matter please correct immediately or notify area leadership.

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.