Free Health & Safety Committee Charter Review Form

Date of Review: [Month Day, Year]

Review Conducted By: [Your Name]

Original Implementation Date of Charter: [Month Day, Year]

Date of Last Amendment/Revision: [Month Day, Year]

Objective of Review

• Routine

• Amendments

• Compliance

1. Are the mission and objectives clearly defined and relevant?

• Yes

• No

Comments/Suggestions:                               

2. Is the committee composition adequately defined/functional?

• Yes

• No

Comments/Suggestions                               

3. Are roles and responsibilities of members clearly outlined?

• Yes

• No

Comments/Suggestions:                               

4. Is the current meeting frequency and procedure effective?

• Yes

• No

Comments/Suggestions:                               

5. Are reporting procedures sufficient?

• Yes

• No

Comments/Suggestions:                               

6. Does the charter comply with current regulatory standards?

• Yes

• No

Comments/Suggestions:                               

7. Does the charter facilitate effective achievement of goals?

• Yes

• No

Comments/Suggestions:                               

8. Does the charter facilitate effective achievement of goals?

• Yes

• No

Comments/Suggestions: ____________________________________________________

Recommended Actions

[Reviewer’s Signature]

[Month Day, Year]

For Committee Use

Review Discussed on: [Month Day, Year]

Actions Approved:

• Yes

• No

Responsible Persons for Implementation: [Name]

Target Date for Implementation: [Month Day, Year]

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