Magnum Electric - End of Shift Review

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Hazard Recognition

• Did you see a hazard today?

  Yes

  No

• What did you see?

• What action was taken to correct/prevent a similar incident?

• Who did you talk with concerning the hazard?

Near Miss

• Did you see a near miss today?

  Yes

  No

• What did you see?

• What action was taken to correct/prevent a similar incident?

• Who did you talk with concerning the near miss?

Job Scope

• Was today's job scope understood?

  Yes

  No

End of Shift Review

• Was the work area cleaned up?

  Yes

  No

  N/A

• Were all necessary permits turned in and signed off?

  Yes

  No

  N/A

• Were all tools and equipment put away?

  Yes

  No

  N/A

• Was anyone on the crew injured today?

  Yes

  No

  N/A

Foreman Review

• Add signature

  Sign