Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Fatigue Mangement

  • Is everyone well rested?

  • Ensure corrective actions are in place to Manage

  • What are the corrective actions?

  • Is anyone traveling home today (outside of fatigue hours ?)

  • Please fill out fatigue management document

Incidents and Hazards

  • How do you rate yesterday's shift

  • Please give details and corrective actions

  • Was there an incident in the previous 24hrs?

  • Brief outline incident

  • Is a Toolbox required for this Incident ?

  • Please complete toolbox and attach

  • Are there any hazards to report

  • There are always hazards , please re ask question

  • What are the hazards and the Controls

Work to be performed today

  • What is the work to be performed

Any other issues (open forum)

Sign to confirm you understand and agree with Pre start

  • Harry Mullett

  • Dannel Smith

  • Graham Hill

  • David May

  • Peter Hyde

  • Andrew Stephens

  • Philippe St-cyr

  • Mark fox

Supervisor sign off

  • Add 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.