Title Page

  • Conducted on

  • Prepared by

  • Location

  • Was a mask worn over the nose and mouth?

  • Was employee educated?

  • Was the gown donned correctly?

  • Was employee educated?

  • Were gloves donned correctly?

  • Was employee educated?

  • Were goggles or face shield worn?

  • Was employee educated?

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.