Job Site Safety Observation Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment PPE

• All employees wearing Hard Hat

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Dust Mask

  Yes

  No

  N/A

• Work Boots

  Yes

  No

  N/A

• Back support

  Yes

  No

  N/A

Heat Illness Prevention

• Water 2 gallons per employee

  Yes

  No

  N/A

• Shade

  Yes

  No

  N/A

• Emergency Procedure

  Yes

  No

  N/A

Job site daily Inspection

• Daily Inspection Report Filled by Foreman?

  Yes

  No

  N/A

Weekly Sfety Meeting

• Employees know the Weekly Topic?

  Yes

  No

  N/A

Scaffold

• Scaffold in good working conditions?

  Yes

  No

  N/A

• Safety Rails in place

  Yes

  No

  N/A

• Fully plank?

  Yes

  No

  N/A

• Toe Board in every access Pointe

  Yes

  No

  N/A

• Scaffold Ties 26' Vertical and 30' Horizontal

  Yes

  No

  N/A

• Access Ladders

  Yes

  No

  N/A

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