Title Page

  • Company:

  • Site:
  • Conducted By:

  • Date:

REPORT SUMMARY

  • Repeat Known Hazards?

  • Check all standards that apply:

  • Major Findings:

  • Detail new and existing hazards with an increased risk or severity requiring immediate attention.

  • Severity:

  • Summary Findings:

  • Summary:
  • Summarize general findings outlining areas of noncompliance, potential hazards, and recommendations for corrective action.

  • Check all standards that apply:

  • Frequency:

  • Recommended Corrective Action:

INSPECTION TRACKER

  • Missed or Outdated Inspections?

  • Check all inspections that apply:

Missed Inspections Log

  • Please identify all missed inspections by location and last known inspection date.

  • Fire Extinguishers

  • Last date of inspection?

  • Location?

  • Eyewash Stations

  • Last date of inspection?

  • Location?

  • Safety Showers

  • Last date of inspection?

  • Location?

  • Forklift

  • Last date of inspection?

  • Location?

  • Aerial/Boom Lift

  • Last date of inspection?

  • Location?

  • Crane/Hoist

  • Last date of inspection?

  • Location?

  • AED

  • Last date of inspection?

  • Location?

SITE INSPECTION LOG

    Finding:
  • Check all that apply:

  • Location?

  • Frequency?

  • Type of Violation:

  • Recommendation:

  • Type of Violation

  • Recommendation

  • Type of Violation

  • Recommendation

  • Type of Standard:

  • Recommendation:

  • Type of Violation:

  • Recommendation:

  • Type of Violation:

  • Recommendation:

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.