Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Identified Hazard

  • Identify hazard

  • Add media

  • Why is this a hazard?

  • What is the risk rating?

  • Can this hazard be reduced in the short term?

  • What short term action is required to remove or reduce the risk?

  • Can this hazard be reduced in the long term?

  • What long term action is required to remove or reduce the risk?

  • Has this hazard been reported to property management?

  • Who was this hazard reported to?

  • What was their response to the hazard and suggested short and or long term action required to reduce or remove the risk?

  • When will this hazard be reviewed?

Signatory

  • I hereby acknowledge this report to be a fair and accurate reflection of the inspected site and that the customer has been contacted to discuss the above listed items.

Review

  • Review hazard frequently to determine if the hazard is still present or if any measures have been taken to reduce or remove the hazard

  • Date reviewed

  • Has any action been taken to remove or reduce the hazard?

  • Date reviewed

  • Has any action been taken to remove or reduce the hazard?

  • Date reviewed

  • Has any action been taken to remove or reduce the hazard?

  • Date reviewed

  • Has any action been taken to remove or reduce the hazard?

  • Date reviewed

  • Has any action been taken to remove or reduce the hazard?

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.