General Safety Observation Report

• Company/ Worksite

• Inspected by

• Date and Time

  Date
• Location
  Address

Safety Mentions

• Click "add" and list good safety precautions and compliant procedures

Item

• Safety mention category

  Select Accessibility Work Environment Tidiness Cleanliness Lighting Fire Safety Equipment & Procedures Electrical hazards Personal Protective Equipment (PPE) Storage/Containment Other

  • Accessibility
  • Work Environment
  • Tidiness
  • Cleanliness
  • Lighting
  • Fire Safety Equipment & Procedures
  • Electrical hazards
  • Personal Protective Equipment (PPE)
  • Storage/Containment
  • Other

• Identify category the item belongs to

• Enter description

Opportunities for Improvement

• Click "add" and list items that need to be looked into or changed

Item

• Opportunities for improvement category

  Select Accessibility Work Environment Tidiness Cleanliness Lighting Fire Safety Equipment & Procedures Electrical hazards Personal Protective Equipment (PPE) Storage/Containment Other

  • Accessibility
  • Work Environment
  • Tidiness
  • Cleanliness
  • Lighting
  • Fire Safety Equipment & Procedures
  • Electrical hazards
  • Personal Protective Equipment (PPE)
  • Storage/Containment
  • Other

• Identify category the item belongs to

• Enter description

Critical Items

• Click "add" and identify items in need of urgent action

Item

• Critical item category

  Select Accessibility Work Environment Tidiness Cleanliness Lighting Fire Safety Equipment & Procedures Electrical hazards Personal Protective Equipment (PPE) Storage/Containment Other

  • Accessibility
  • Work Environment
  • Tidiness
  • Cleanliness
  • Lighting
  • Fire Safety Equipment & Procedures
  • Electrical hazards
  • Personal Protective Equipment (PPE)
  • Storage/Containment
  • Other

• Identify category the item belongs to

• Enter description

Completion

• Additional recommendation

• Inspector's Full Name & Signature

  Sign