Title Page

  • Site name

  • If other, what is site name?

  • Location

  • Conducted on

  • Prepared by

  • Title of the issue

Issue

  • What kind of issue is it?

  • Give a brief description of the issue & add photos

  • Is follow up action required?

  • What requires to be done?

  • When does this need to be done by?

Signature

  • Signature

  • Date report completed

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.