VPP Passport

1. Complete and document three (3) safety
inspections with employees in the work area,
noting any positive observations and any
issues/concerns and reporting them to the
responsible person for corrective action. You are
encouraged to involve safety, industrial hygiene,
Rad Con, and your supervisor in this activity.
1. Employee Name:
Supervisor Signature:
(print/sign)
2. Employee Name:
(sign/date)
(print/sign)
Supervisor Signature:
3. Employee Name:
(sign/date)
(print/sign)
Supervisor Signature:
(sign/date)
LSIT/VPP Chair Signature:
(sign/date)
24