Information

  • Conducted on

  • Prepared by

    Electrical safety
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

  • Housekeeping
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

  • Chemical safety
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information


  • Ventilation
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

  • Lo/To
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

  • Contamination
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

  • Life safety
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

  • General safety
  • Short description of issue

  • Type of violation (need a list for the drop down for each of the 8 categories)

  • Building location(building and level)

  • Area drop down list

  • Specific location (column, hex & tool ID)

  • Photo(s) of issue

  • Level of importance

  • Additional information

Sign off

  • Time audit completed

  • Print name

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.