In your opinion what is the level of risk to employees or others?
Briefly describe the SIO/issue:
Have your reported this to your line manager?
If necessary, has the immediate risk been removed or made safe?
Any Suggested Improvements/Other Comments?
PFP Landscapes SIO template
Safety Improvement Opportunities report template
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
or other applicable laws. You should also seek your own professional advice to determine if the use of such
permissible in your workplace or jurisdiction.