Daily Safety Observation

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation

• Type of Observation

  Unsafe Act

  Safe Act

  Unsafe Condition

  Safe Condition

• Observation

  Safe

  At Risk

  N/A

• Describe corrective action:

• Was immediate corrective action taken?

  Yes

  No

• Indirect Cause

  Lack of training

  Lack of Belief

  Lack of Resources

• Category

  Select Housekeeping Fall Protection Scaffold, Ladder, Stairway PPE Excavation Material Handling Vehicle Mobile Equipment Tools & Equipment Fire Protection Confined Space Planning Communication LO/TO & Electrical Work Practices Chemical Exposure Permit Other

  • Housekeeping
  • Fall Protection
  • Scaffold, Ladder, Stairway
  • PPE
  • Excavation
  • Material Handling
  • Vehicle Mobile Equipment
  • Tools & Equipment
  • Fire Protection
  • Confined Space
  • Planning Communication
  • LO/TO & Electrical
  • Work Practices
  • Chemical Exposure
  • Permit
  • Other

• Observers

  Sign