Jobsite Safety Brief

• Job Location

• Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address

OBSERVER(S)

• Herb Oxendine, CSP EHS Manager

Worksite Dynamics

• Today's Observed Tasks

• Any Visitors to the Jobsite?

  Yes

  No

  N/A

• Meetings Today

  Select Pre-Job/POD Weekly Progress Monthly Progress Telephone Conference Safety Stand Down

  • Pre-Job/POD
  • Weekly Progress
  • Monthly Progress
  • Telephone Conference
  • Safety Stand Down

• Training Today

  Select None Site Specific Orientation New Hire Orientation JHA/JSA Hazcom/GHS Qualified Operator Other Safety Training

  • None
  • Site Specific Orientation
  • New Hire Orientation
  • JHA/JSA
  • Hazcom/GHS
  • Qualified Operator
  • Other Safety Training

• Any Incidents?

  Select None Near Miss First Aid OUCH Personal Injury Equipment Accident Property Damage Spill/Environmental

  • None
  • Near Miss
  • First Aid
  • OUCH
  • Personal Injury
  • Equipment Accident
  • Property Damage
  • Spill/Environmental

• Any Weather Issues/Delays?

  Select None Rain Lightening High Winds Snow/Ice Extreme Heat/Cold

  • None
  • Rain
  • Lightening
  • High Winds
  • Snow/Ice
  • Extreme Heat/Cold

Observations

• Describe any GOOD OBSERVATIONS

  Safe

  At Risk

  N/A

• Describe any SAFETY DEFICIENCIES

  Safe

  At Risk

  N/A

Comments

• Additional Comments/Detail

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• Auditor's Signature

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