Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

WALK AROUND OF FACILITY / PROPERTY

  • Are there any violations?

  • Violations Discovered

  • Violation
  • Location of Violation

  • Photographic Evidence

  • Description of Violation

PREVIOUS UNCORRECTED VIOLATIONS

  • Are there any uncorrected violations from a previous inspection?

  • Uncorrected Violations

  • Violation
  • Location of Violation

  • Photographic Evidence

  • Description of Violation

RECEIPT

  • This safety inspection is used to determine your compliance with the Occupational Safety and Health Administration (OSHA) standards and practices. Any violations discovered may be utilized to help determine the areas of concern that need addressing.

    Your signature for receipt of this report acknowledges your understanding that if any violations are discovered they will be corrected as soon as possible. You also understand that by failing to correct any violations discovered, you will be held liable for any violations that may be discovered during a safety inspection from OSHA or your State Enforcement Agency.

    You also agree not to hold Employer Advantage and/or its representative liable for any violations discovered during a safety inspection conducted by any investigator or enforcement officer.

    Refusing to sign this report does not in any way release you from any liability.

  • Assessor

  • Company Representative

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.