Information

  • Document No.

  • Department

  • Conducted on

  • Prepared by

  • Description of hazard/behaviour

  • Location of the hazard/behaviour

  • Insert picture where possible

  • Corrective action taken

  • Is follow up required?

  • Describe follow up action required

  • Person responsible for follow up action

  • Date action to be completed by

  • Enter initials and sign here

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.