Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • Are all employees provided with the necessary safety training for their job tasks?

  • How would you rate the current safety procedures in place at the worksite?

  • Please describe the process for reporting hazards or incidents in the workplace.

  • How many near-miss incidents have been reported in the last month?

  • Has a Job Safety Analysis been conducted for all job tasks?

  • When was the last safety inspection carried out at the worksite?

  • Please upload a photo of the personal protective equipment available for employees to use.

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.