Title Page

  • Date Conducted

  • Site Conducted

  • Statutory Appointment Completed By

SMAC Statutory Inspection - Daily report

  • Highlights

  • Emerging Issues

  • Lowlights

  • Priorities

Shift

  • Crew (Panel)

  • SEM Capability: https://forms.office.com/r/Hint9KHp0d

Daily Tasks

  • Vehicle Pre-starts Completed

  • Daily Workplace Inspection Completed

  • Equipment Inspected

Incident Callouts

  • Fire Alarms

  • Medical Events

  • Fire and/or Rescue

Leader Communication | General

  • Add all relevant communication

Site Senior Executive Information

  • South Flank

  • Mining Area C

Sign Off

  • Name of Incoming Statutory Appointment

  • Outgoing Statutory Appintment Signature

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.