Daily Safety Checklist Template

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Daily Safety Checklist Inspection Calendar
Year:
Inspection Date
Name
Signature
Term 1
Term 2
Term 3
Term 4
1. Daily safety checklists are to be completed by employees and kept on file for the Occupational Health
and Safety Officer to inspect quarterly.
2. For items requiring prompt follow up, the employees who conducted inspection must ring an employer
representative to determine corrective action required by whom. This follow up will include further
consultation with staff, and at minimum feedback to them confirming corrective action timeline and
agreed action parties.
3. Sample Daily Safety Checklist on page 2.
Park Orchards Kindergarten, 2014

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