• Observation Reference:

  • Title for Observation

  • Client Site?


  • Observations Service Stream ?

  • What was observed?

  • Date and Time of observations?

  • Photos of Observations

Observer Information

  • Name of person making the observation?

  • Job Title?

Recipient Information

  • Person report issued to?

  • Organization or Department Report Issued to?

Observations Action & Close Out

  • Are there any actions required?

  • Action Taken?

  • Evidence of Actions Completed

  • Actions Completed By?

  • Date Actions Completed?

  • Observation closed out by?

  • Final Comments?

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.