Template Information
John pointon and sons ltd.
Category: general
Template Questions
- Department Name :
- Departmental Manager:
- Inspection completed by :
- Date Completed : Date
- Report of Safe / Unsafe Acts and Conditions
- Description of Unsafe Act / Condition No. 1
- Potential Accident or Injury
- Unsafe Acts / Conditions
- Cause
- Source
- Recommended fix
- Description of Unsafe Act / Condition No. 2
- Description of Unsafe Act / Condition No. 3
- Description of Unsafe Act / Condition No. 4
- Description of Unsafe Act / Condition No. 5
- Description of Unsafe Act / Condition No. 6
- Description of Unsafe Act / Condition No. 7
- Description of Unsafe Act / Condition No. 8
- Description of Unsafe Act / Condition No. 9
- Description of Unsafe Act / Condition No. 10
- Additional Comments
- Please add any relevant photographs from the SUSA Inspection
- Inspection Completed By :