Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Site name

  • Non productive time

  • Select date

  • Week number

  • Team

  • Day

  • Available staff/NWR/times

  • Description/unit of QTY/QTY/location e.g mileage/chain/catch pit numbers

  • Safe system used?

  • Total time on tools or reason work not complete

  • Planned/unplanned?

  • Description/unit of QTY/QTY/location e.g mileage/chain/catch pit numbers

  • Safe system used?

  • Total time on tools or reason work not complete

  • Planned/unplanned?

  • Description/unit of QTY/QTY/location e.g mileage/chain/catch pit numbers

  • Safe system used?

  • Total time on tools or reason work not complete

  • Planned/unplanned?

  • Description/unit of QTY/QTY/location e.g mileage/chain/catch pit numbers

  • Safe system used?

  • Total time on tools or reason work not complete

  • Planned/unplanned?

  • Description/unit of QTY/QTY/location e.g mileage/chain/catch pit numbers

  • Safe system used?

  • Total time on tools or reason work not complete

  • Planned/unplanned?

  • Description/unit of QTY/QTY/location e.g mileage/chain/catch pit numbers

  • Safe system used?

  • Total time on tools or reason work not complete

  • Planned/unplanned?

  • Issues during the shift?

  • Lost time/reason

Materials used

  • Description/quantity/source

All media

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

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.