Ventia Safety Grounds Completion Form

• The version control will be maintained by the SHEQ team and is controlled via the Safety Equipment Inspections Document 2073838157-15.

• Document No.

• Work Order Number / G number / Asset Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The version control will be maintained by the SHEQ team and is controlled via the Safety Equipment Inspections Document 2073838157-15.

Grounds

• Lawns mowed to standard

  Yes

  No

  N/A

• Hard Stand free off weed and blown clean, Rubbished collected

  Yes

  No

  N/A

• Access ways clean and clear

  Yes

  No

  N/A

Grounds Photos

• Before work started

  Yes

  No

  N/A

• After work completed

  Yes

  No

  N/A

• Site safe and secure

  Yes

  No

  N/A

POSITIVE OBSERVATIONS

• Note Positive Observations :

  Yes

  No

  N/A

AT RISK OBSERVATIONS

• Note Observations to be rectified by WHEN and WHO ! "Help desk and Direct Manager"

  Yes

  No

  N/A

• Provide a sketch of the area of concern if applicable to support findings

  Drawing

• WORKPLACE SIGN OFF

  Sign

• Select date

  Date