Title Page

  • Statement nr

  • Statement title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Statement

  • Statement made by :

  • Date and time:

  • Statement :

  • Name of person making the statement

  • Date signed

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.