Title Page

  • Safety Monitor

  • Conducted on

  • Location

Hazards and Risks

  • Spotted a hazard? Click “Add”

  • Hazard
  • Description of identified hazard

  • Select control needed

  • Details of control measure

  • Were there at risk behaviors involved?

  • What type of feed back was given?

  • Comments

  • Hierarchy of Controls reference

  • Hierarchy_of_Controls_(By_NIOSH).jpg

Completion

  • Additional recommendation

  • Full Name & Signature of Inspector

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.