Title Page

  • Conducted on

  • Conducted by

  • Location

Specific notes

  • Public in work areas

  • QR codes and Covid register available?

  • Hand Sanitizer & signage in place

  • Being aware of others working

  • Sturdy shoes & high vis at all time

  • Keep work areas tidy

  • Is there any plant / machinery/ vehicles operating?

  • Is there any work at heights?

  • Is there any hazardous substances on site?

  • No alcohol or illegal substances to be consumed before or whilst working

  • Report any incidents, hazards, near misses

  • If you are not sure, ask questions

  • Toilets location

  • First Aid Kit Location

  • Fire Extnguisher location

  • Evacuation - follow instructions. Muster point location?

  • Are there any other site specific hazards?

  • Any questions?

  • Name of attendee

  • Signature

  • Name

  • Signature

  • Name

  • Signature

  • Name

  • Signature

  • Name

  • Signature

  • Name

  • Signature

  • Date and time

  • Location
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.