Title Page

  • Document number

  • Building observed

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Area observed

  • Trade?

  • Activity

  • Are the employees working safely?

  • Picture of unsafe condition/act

  • Was corrective action taken?

  • Description of corrective actions if taken

  • Picture of corrective action

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.