Information

  • Document No.

  • Vemco Business Unit

  • Client if applicable

  • Conducted on

  • Hazard Reported by

  • Location
  • Personnel

HAZARD IDENTIFIED

  • Add a photo of hazard if you can.

  • Hazard Category

  • What is the risk of harm?

  • What is the POTENTIAL risk of harm?

  • What immediate actions have been taken?

  • Are further actions required?

FURTHER ACTIONS:

  • Who is responsible for the actions

  • Has that person been notified?

SIGN OFF

  • Auditor 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.