Daily Safety Report

• Date

  Date

• Project Name

• Contractor

• Site Supervisor

• Prepared by

• Location
  Address

Weather Conditions

• Conditions

• Temperature (F)

• Wind Direction and Speed

Work Hours

• Start

  Date

• End

  Date

Work Activity

• Work planed for day

Work Force

• Number of workers onsite

• Hot work permit?

  Yes

  No

  N/A

• Was there any incidents?

  Yes

  No

  N/A

• Was there any near misses

  Yes

  No

  N/A

• Any reported safety violations

  Yes

  No

  N/A

• any cases which required first aid

  Yes

  No

  N/A

• Any noted Enviromental incidents? (oil spill, etc)

  Yes

  No

  N/A

• Is jobsite kept clean

  Yes

  No

  N/A

• Are oil drums, compressed gas cylinders, fuel cans stored properly?

  Yes

  No

  N/A

• Was proper PPE worn at all times

  Yes

  No

  N/A

• Any Photos

  Media

• Any work permits

  Media