Felino Molina

PWC SAO

This form is used in the field to record SAO contacts by Power Networks employees.

Use this Template

Print as PDF

Use this Template

Title Page

Audit Title
Business Unit
Conducted on
Prepared by
Location

Safe Act Observation

Click + to add Person
Name of the Person
Comments . This is not an observation but for example, which worksite was visited.
Click + to add Observation
Observation Details
Was the task observed as safe or unsafe?
Click + to add Action
Details of Action
Due Date
Responsible Person
Record unsafe category
- A. Rection of People
- B. PPE
- C. Position of People
- D. Tools and Equipment
- E. Procedure
- F. Housekeeping

Felino Molina

PWC SAO

This form is used in the field to record SAO contacts by Power Networks employees.

Use this Template

Print as PDF

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.