Title Page
Prompt: Before commencing the SHES visit, please review the findings and actions from the last visit and note any that are not closed out
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Project Name
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Scheduled Month
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Contractor
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Visit Type
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Visit Category
- Construction - Electricity Transmission
- Construction - Gas Transmission
- Electricity Transmission Asset Management
- ENCC
- Gas Distribution
- Gas Transmission Asset Management
- GNCCg
- Grain LNGS
- Metering
- Offices and Stores
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Zone/Area
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Site Address
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Site Contact
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Booked By
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Brief Description of Work
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Visit Completion Date
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Process safety been discussed? Y/N
Key Risk Areas
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Process Safety Comments
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Occupational Safety Comments
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Health Management Comments
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Environmental Management Comments
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Sustainability Comments
Please select which sustainability communication materials are on display and any tools used
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Hot Topics
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Z-Cards
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Tool Box Talks
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Sustainability Posters
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Training Presentations
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Case Studies
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Good Practice Guide
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Materials Exchange Tool
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Podcasts
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Improvement Actions
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Additional Notes/ Comments
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What Safety Score do you give the site visit?
- 3
- 2
- 1
- -1
- -2
- -3
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What Environmental Score do you give the site visit?
- 3
- 2
- 1
- -1
- -2
- -3
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Please add any photos if applicable
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Signature