Basic Project Safety Audit

• Project Name

• Conducted on

  Date

• Completed By

• Document No.

• Location
  Address

Safety Observation 1

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 2.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 3.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 4.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 5.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 6.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 7.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 8.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 9.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Safety Observation 10.

• Description

  Safe

  At Risk

  N/A

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Immediately

  Further Action

  N/A

Other.

• Yes

  No

  N/A

• Completed By

  Sign

• Superintendent/Foreman

  Sign