Information

  • Any issues identified that must be tracked to closure.

  • Date / Time of Walk starting

  • Observer(s)

  • Disciplinary Action given
  • First and last name of worker

  • Description of violation

  • Level of severity (could be escalated if additional violations exist in the disciplinary log)

  • Employer

  • Foreman Signature indicating the violation was explained to the worker and understood.

Check the area in accordance with the below criteria. Any corrective actions should be documented in the next section. Any marked "No" should have a detailed explanation.

    Corrective Action
  • Area Location

  • Insert Column Location or other Comments Here for Clarification

  • Detail issue

  • Owning contractor

  • Photo if applicable

  • Owner of corrective action

  • Detail Corrective Action needed

  • Due date

  • Check box if verified complete

  • Time of walk finishing

  • Name of Auditor and 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.