Knutson Project Safety Audit

• Project

• Conducted on

  Date

• Completed By

• Document No.

• Audit Title

Safety Observation 1

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 2.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 3.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 4.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 5.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 6.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 7.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 8.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 9.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Safety Observation 10.

• Description and Risk Level

  High

  Moderate

  Low

• Location

  Yes

  No

  N/A

• Contractor

  Yes

  No

  N/A

• Individual

  Yes

  No

  N/A

• Corrective Action

  Yes

  No

  NA

Other.

• Yes

  No

  N/A

• Completed By

  Sign

• Supervisor

  Sign