Title Page

  • Site Name

  • Conducted on

  • Prepared by

  • Location

Exsisting

  • Existing kiosk material

  • Current kiosk design (simple sketch)

  • Existing Lenght (MM)

  • Existing Width (MM)

  • Existing Height (MM)

  • Acoustic

  • Explosion Relief

  • Equipment to remove

  • General kiosk area

  • Kiosk condition

  • Equipment to remove

Proposed

  • Work Required

  • New length (MM)

  • New Width (MM)

  • New height (MM)

  • New design (simple Sketch)

  • Civil work required?

  • Approximate surface area? (M2)

  • New kiosk finish type

  • New kiosk colour

  • Additional information

Site Hazards

  • Typical hazards on site

  • Additional hazards on site

  • Local area information

  • Local area

  • Images of hazards

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.