Title Page
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Client / Site
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Project
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Date
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Location
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Supervisor Name
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Number of Workers
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INSTRUCTIONS
1. Please provide responses on the questions below.
2. Add photos and notes by clicking on the paperclip icon
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link
Safety concerns/reports from yesterday’s work?
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Please specify safety concerns/reports from yesterday’s work?
Changes to the site today
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Please specify changes to the site today
WORK AREA(S) TODAY
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WORK AREA
• AREA
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Work Area
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Activity in the work area
High Risk Construction Work
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To be undertaken today (Supervisor and Workers)
Work that is in, on, or near -
Heights of more than two metres
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Confined Space Work
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Telecommunication Towers
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Artificial Temperature Extremes
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Temporary supports for structural alterations
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Work on or adjacent to roadways or railways used by road or traffic
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Electrical installations or services
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Water/Liquids that pose a drowning risk
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Chemical, fuel or refrigerant lines
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Contaminated or flammable atmosphere
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Work on or near pressurised gas distribution mains or piping
Significant Hazards Today
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Please specify significant hazards today
Controls not in SWMS (workers comments)
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Please add workers comments
Time Records of Employees
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Time Record
• EMPLOYEE
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Day
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Date
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Start Tme
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Time Off During Work Period
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Meal Period
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Other
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Finish Time
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Total Daily Hours
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Ordinary
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Overtime
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Employee Name and Signature
General Comments and Observations
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Please add additional comments and observations
Completion
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Supervisor Name and Signature
