This CLH Infraction Notice template helps construction teams document site violations and formal warnings. Record site and PCBU details, select the type of warning such as 1 week notice, 2 weeks notice, or cease work, and specify offenses including no current White Card, substandard work, SDS not current, violation of safety rules or company policies, and tag and test out of date. Capture incident details, outline a plan for improvement, set consequences for further infractions, and obtain acknowledgement via signatures from the site supervisor, PCBU, and a witness. Use it to assign responsibility, set deadlines, and track follow up actions to strengthen safety and compliance on construction projects. Templates from the SafetyCulture Public Library are examples only and should be adapted to local requirements.
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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.