Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Positive Concern

  • Good Practice

  • PPE

  • Environment & housekeeping

Hazard Report - Source of hazard

  • People (eg. Position, posture, gravitation and etc.)

  • Equipment (fix, mobile and portable tool/equipment)

  • Material (hazardous substance, electricity and etc.)

  • Environment (eg. Heat, dust, noise, biological and etc.)

Risk level

  • Risk level = Likelyhood x Consequence

Recommendation for control

  • Eliminate

  • Substitution

  • Emgineering

  • Administration

  • PPE

Approval

  • Agreement

  • Owner area

  • Manager

  • Reporter

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.