Title Page

  • Project Name:

  • Project Number:

  • Prepared by:

  • Conducted on:

Zero Incident

COVID Requirements

  • Face Coverings and Screening Per Owner Requirements

  • Trailers/Break Areas Clean

Weekly Safety Audit

  • Being Completed

  • Date of Last Audit

  • Completed By

Daily Pre-Task Planning

  • Being Completed

  • Completed By

  • Reviewed With Crew

Safety Lead

  • Safety Lead Assigned

  • Safety Lead Participate in Audit

  • Audit Reviewed With Safety Lead

Stretching

  • Stretching Completed Daily

  • Safety Observation (click "add safety observation" to start)

  • Safety Observation
  • Description

  • Risk Level

  • Location

  • Contractor

  • Individual(s)

  • Corrective Action (a follow up reminder can be added by clicking the 3 dots to the right)

  • Photos

Additional Notes and Signature

  • Additional Notes:

  • Audit Reviewed with Superintendent

  • Completed by:

  • Superintendent / Foreman:

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.