Prompt: Before commencing the SHES visit, please review the findings and actions from the last visit and note any that are not closed out

Project Name

Scheduled Month


Visit Type

Visit Category


Site Address

Site Contact

Booked By

Brief Description of Work

Visit Completion Date

Process safety been discussed? Y/N

Key Risk Areas

Process Safety Comments

Occupational Safety Comments

Health Management Comments

Environmental Management Comments

Sustainability Comments

Please select which sustainability communication materials are on display and any tools used

Hot Topics


Tool Box Talks

Sustainability Posters

Training Presentations

Case Studies

Good Practice Guide

Materials Exchange Tool


Improvement Actions

Additional Notes/ Comments

What Safety Score do you give the site visit?
What Environmental Score do you give the site visit?
Please add any photos if applicable
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.