Title Page

  • Conducted on

  • Conducted by

  • Site Location

Site Checklist

  • Have I pre planned and prepared for this trip

  • Is this trip duration expected to exceed 2hrs?

  • Night work communicated to HSEQ Manager ?

  • Am I towing A trailer?

  • Am I carrying a load

  • Have I established a contact to confirm safe arrival?<br>

  • If any of your answers are 'RED' - identify the hazard and it's controls in the next section.

Hazard and Risk Assessment

  • What is the hazard?

  • What is the risk rating for this hazard?

  • Add photos (where applicable)

  • What controls are being implemented?

  • What is the revised risk rating for this hazard?

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.