Title Page

  • Task Title

  • Conducted on

  • Prepared by

  • Location
  • Technician Name

  • Date SSOW / RA signed

  • Asset Reg

  • Asset Type

Safe Person

  • Describe SSOW

  • Does the technician have the PPE relevant to the task

  • Is the technician competent to carry out task

Safe Equipment

  • Visual pre use check and safe for use

  • Correct equipment available to use for relevant task

  • Does any equipment require a formal pre use check

  • Is the technician using the equipment for its intended purpose

Safe Environment

  • Is the area free of obstruction / hazards

  • Is there adequate lighting / workspace

  • Is the vehicle / trailer isolated

  • Is the area segregated as per SSOW

Observing

  • Has the technician carried out the relevant task as per SSOW / RA

Next Steps & Notes

  • undefined

  • Auditor

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.