Skip to content
SafetyCulture
Template

Employee Field Engagement Form – MPS

by Caleb Trease, from the Community

Downloads: 10+
Get this template

This Employee Field Engagement Form helps supervisors and safety leaders document field conversations, job task observations, training checks, and permit-to-work verifications across mining operations. It covers critical risk management (CRM) topics such as cyanide handling, conveyor entanglement, lifting and rigging, ground control, confined space, energy isolation, and more. The form includes sections for corrective actions, photos, worker competency, workplace exams, improvement opportunities, and training follow-ups. A simple Plan–Act–Score framework supports daily goal setting, program use (ACT card, FLRA, JHA, exams, SOPs, permits), and team feedback to drive safety, efficiency, and performance.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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.

Employee Field Engagement Form for Mining Teams | MPS | Free Template