Location

  • Conducted on

  • Prepared by

  • Location

Survey

  • Client

  • Site

  • Date

  • Visit by

  • Seen by Client

  • Weather

  • Operative overseeing visit

  • Operatives present on site

Safety

  • Riddor

  • Near Misses

  • PPE Acceptable

  • Rams Visible for all

  • Changes of method of works anticipated

  • Tool box talk

  • Other Trades acceptable

  • Power Acceptable

  • CHSW Forms Complete

  • Unloading acceptable

  • Access and Fall protection adequate

  • Coshh adequate

  • welfare adequate

Notes and pictures

  • Pictures and Notes

  • Pictures and Notes

  • Pictures and Notes

  • Pictures and Notes

Signatures

  • Signature of person carrying out the survey

  • Signature of person over seeing the visit

  • Signature of the client

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.