Title Page

  • Company:

  • Site:
  • Date:

SITE VISIT SUMMARY:

    The following tasks were performed:
  • Category:

  • Subject or OSHA Standard:

  • What was the level of training?

  • Summary of Inspection:
  • The results of the health and safety inspection are included in this summary. Based on the information gathered during the site visit, the major findings and recommendations are presented below.

  • Are there any major finding that may be considered high hazard?

  • Is this high priority?

  • Recommendation:

  • General Findings:

  • Check all standards that apply:

  • Is this a repeated violation?

  • Recommendations:

When is the next visit scheduled?

  • Select date

  • What tasks are planned for the next visit?

  • Subject?

FINDINGS:

    Finding:
  • Check all that apply:

  • Location?

  • Is this new or a repeated violation?

  • Type of Violation:

  • Recommendation:

  • Type of Violation

  • Recommendation

  • Type of Violation

  • Recommendation

  • Type of Standard:

  • Recommendation:

  • Type of Violation:

  • Recommendation:

  • Type of Violation:

  • Recommendation:

INSPECTION TRACKER:

  • Are there any missing or expired inspections?

  • What was the type of inspection?

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?

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.