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

Key Risk Areas

Process Safety

  • Process safety been discussed? Y/N

  • What process safety systems did you praise?

  • What process safety behaviour changes were agreed with the individuals?

  • What process safety systems were found to be inappropriate/substandard?

  • Process Safety Comments

Occupational Safety

  • What unsafe/inappropriate behaviours were identified?

  • What SHES behaviours did you praise?

  • What behaviour changes were agreed with the individuals?

  • Occupational Safety Comments

Health & Wellbeing

  • What Health & Wellbeing areas did you observe?

  • Health & Wellbeing Comments

Environmental Management

  • What are the main environmental risks for the project?

  • What environmental management areas did you observe on the project?

  • Environmental Management Comments

Sustainability

  • What sustainability measures did you observe on the project?

  • 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

  • What improvement actions are outstanding?

  • What other improvement actions were taken on site?

  • What issues/SHES process safety improvements were discussed?

  • 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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