Title Page

  • LISBURN RENEWALS

  • Conducted on

  • Prepared by

  • Works Location
  • Weather conditions

Safety Snapshot

Brief summary of the work areas witnessed

  • Compound(s)

  • On - Off Tracking Area(s)

  • Work Site 1

  • Worksite 2

  • Worksite 3

  • Worksite 4

Brief outline of any observations noted

  • General H&S Documentation (Site Manager Brief, Task Briefings, Temporary Works, RRV Lift Plans)

  • Plant (Operator inspections, LOLER certs, Competency cards)

  • TSC, PEM, SSOW, LIFT PLANS, forms and competency cards)

  • Any other point 1

  • Any other point 2

Brief outline of any intervention made (complete a Translink Good Catch form for each one)

  • Outline of event(s)

Outline any remaining improvement opportunities not closed out

  • Detail(s) of what needs to be done, by whom, and when

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.