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SafetyCulture
Template

WW Safety Conversation Form

by Andrew Hoffmann, from the Community

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This Safety Conversation Form helps supervisors and leaders conduct structured field safety conversations. Capture site, date, location, observer, work area and task observed, workers involved, and observation type. Record the number of behaviors observed and categorize findings across Equipment, Ergonomics, Organisation, People, Procedures, Contractor Management, and Environment. Note safe vs at‑risk behaviors with details, add improvement opportunities, and obtain observer signatures. Use it to coach teams, document actions, and strengthen safety culture.

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About author

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.