Title Page

  • Conducted on

  • Prepared by

  • Location
  • Project Number

  • Contractor

Site Conditions

  • Weather

  • Wind

  • Temperature

  • Site Condition

  • Rain in last 24 hours

Health and Safety

  • Safety Equipment

  • Mobile Phone

  • Permission to Enter

  • JSEA signed?

  • Observations

  • Add media

Work Activities

  • Work completed/Current Operations

  • Environmental Management Plan onsite?

  • Environmental Issues/Notes

  • Is TMP ok?

  • TM Issues/Notes

  • Hazard/Issues/Notes

  • Instructions given to the contractor

  • Problems/delays

  • Other

  • Add media

  • Add drawing

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.