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

  • Project Name

  • Scheduled Month

  • Contractor

  • Visit Type

  • Visit Category

  • Zone/Area

  • 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

  • Z-Cards

  • Tool Box Talks

  • Sustainability Posters

  • Training Presentations

  • Case Studies

  • Good Practice Guide

  • Materials Exchange Tool

  • Podcasts

  • 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

  • Signature

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