Title Page

  • Conducted on

  • Prepared by

  • Location
  • Name of Op

  • Agency / Employed

  • Sentinel Number

  • Primary Sponsor

  • Travel Time to work

  • Second Sponsor

  • 4LM Induction

  • Asbestos Awareness

  • Manual Handling

  • Face Fit Type

  • Working at Height

  • Date of Inspection

  • Reason for Inspection (New Starter / Post Incident / Random)

  • Sentinel ICI LU – EXP DATE

  • BTA – EXP DATE

  • PTS AC/DC – EXP DATE

  • Area A – EXP DATE

  • LUL Medical – EXP DATE

  • PHOTO REQUIRED IF YES

  • LUL DAMSP

  • PHOTO REQUIRED IF YES

  • First Aider (Training Provider) – EXP DATE

  • PHOTO REQUIRED

  • Cat / Genny (Training Provider) – EXP DATE

  • PHOTO REQUIRED – Signed off by employing manager as competent?

  • PASMA – EXP DATE

  • Track Trolley Controller – EXP DATE

  • Fire Watchmen – EXP DATE

  • QUAF 54 – EXP DATE

  • Confined Space – EXP DATE

  • Small Tools – EXP DATE

  • Cembre Drill – EXP DATE

  • TSW035 (If an SPC or acts as an SPC) – EXP DATE

  • Lanyard Training – EXP DATE

  • Other

  • Other

  • PPE

  • Minimum Standard

  • Standard / Carried on site?

  • Gloves

  • Glasses

  • Face Mask

  • Ear Defenders

  • Orange Trousers

  • Hi Vis

  • Boots

  • Hard Hat

  • Exp date

  • Reviewed By:

  • Signature:

  • Date:

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.