Audit

Any Safety Concerns

Any Environmental Concerns

Any Community Concerns

Site Activities

Number of Personnel

Contractors onsite

Site personnel

Corrective Actions at time of inspection

List corrective actions outstanding from previous visit

Signatures
Signed
Signed
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.