Information

  • Document No.

  • Safety Theme Inspection

  • Area Inspected

  • Area Supervisor

  • Inspected by

  • Role

  • Conducted on

Safety Theme

  • Safety Theme

  • Condition Observed

  • Condition
  • Enter details of condition

  • Hazard Class

  • Action required

  • Responsible Person

General

  • Housekeeping

  • Hazard Class

  • Action required

  • Responsible Person

  • Travel way / Roadways

  • Hazard Class

  • Action required

  • Responsible Person

  • Lighting

  • Hazard Class

  • Action required

  • Responsible Person

  • Stairs / Ladders / Platforms

  • Hazard Class

  • Action required

  • Responsible Person

  • Exits - Access and Signage

  • Hazard Class

  • Action required

  • Responsible Person

Golden Rules

  • Fit for Work

  • Hazard Class

  • Action required

  • Responsible Person

  • Driving

  • Hazard Class

  • Action required

  • Responsible Person

  • Ground Stability

  • Hazard Class

  • Action required

  • Responsible Person

  • Lifting, Rigging, and Hoisting

  • Hazard Class

  • Action required

  • Responsible Person

  • Energy Isolation

  • Hazard Class

  • Action required

  • Responsible Person

  • Working at Heights

  • Hazard Class

  • Action required

  • Responsible Person

  • Hazardous Substances

  • Hazard Class

  • Action required

  • Responsible Person

  • Permit to Work

  • Hazard Class

  • Action required

  • Responsible Person

  • Protective Devices & Guarding

  • Hazard Class

  • Action required

  • Responsible Person

  • Personal Protective Equipment

  • Hazard Class

  • Action required

  • Responsible Person

Comments

  • Enter comments

Review / Sign Off

  • Supervisor

  • Exploration Manager

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.