Information

  • Audit Title

  • Name of the Worker

  • Conducted on

  • Project

  • Prepared by

  • Location
  • Type of violation

  • Warning type

  • Company Statement (Supervisor's Report)

  • Supervisor's Signature

  • Employee Statement

  • Comment

I have entered my statement of the above matter

  • Employee Signature

PLEASE BE AWARE THAT THIS REPORT WILL BE KEPT ON FILE AT THE OFFICE, AND THE ISSUE MAY BE DISCUSSED AT A COMPANY HEALTH AND SAFETY MEETING IN THE FUTURE.

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.