SAFETY PROCEDURE FEEDBACK FORM
Procedure Title: Confined Space Entry Procedure
Date of Procedure: [Month Day Year]
Location: Manufacturing Facility
Instructions:
Please provide your feedback on the safety procedure. Your input is valuable in helping us maintain a safe and compliant work environment.
Were the safety instructions clear and easy to understand?
If No, please specify areas of improvement: The use of technical jargon made it difficult to understand certain steps. |
Did you encounter any difficulties while following the procedure?
If Yes, please describe the difficulties:
|
3.Were all necessary safety equipment and materials provided? |
|
4. Did the procedure adequately address potential hazards? If No, please identify the hazards not addressed:
|
5. Did you witness any unsafe practices during the procedure? If Yes, please describe the unsafe practices:
|
6. Any additional comments or suggestions for improving this safety procedure:
|
By submitting this form, you agree that the information provided is accurate to the best of your knowledge.
|
Signature: ______________________ | Date: [Month Day, Year] |
Health & Safety Templates @ Template.net
