Title Page

  • Job Number

  • Job Name

  • Contractor (If Different from job name)

  • Date of walk through

  • Prepared by

  • Personnel

  • Personnel present:

  • Sales Rep:

  • Location

Safety:

  • Special Training?

  • What kind of Training or Certification?

  • Type of Training

  • Safety Plan?

  • What is the proposed Safety Plan?

  • Describe the Safety Plan

Accessibility:

  • Ladders? Use the "Notes" tab for additional information.

  • Size of Ladder required?

Special Equipment?

  • Which Equipment is needed? (Check all that apply) Use the "Notes" tab for additional equipment.

Logistics?

Materials Staging

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.