Identify Nature of Issues Identified



Is this a Health and Safety Issue?

Is this a Infection Control Issue?

Remedial Action Required

Has a new job been created on FMFirst and if so what is the job number?

By Who?
Date Due for Completion
Date Completed

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.