• Audit Title

  • Date of Observation

  • Location
  • Prepared by

  • Position

  • Name of employee:

  • Worker Status:

  • Number of occurrence:

  • Category of event:

  • Sub-Category:

  • Name of immediate supervisor:

Observation Detail

  • Description of event / What happened:

  • Corrective action:

  • Add media

  • Witnesses to the event:

  • Further corrective action required, or taken:


  • Person Signing:

  • Name and Signature

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.