Project HSE Observation Record

• Project Site Visited

• Conducted on

  Date

• Prepared by

• Subcontractors Involved

Issues Discussed

Issue

• Issue Description

• Add media

  Media

Actions Required

Action

• Action Description

Signature

• Senior Management Signoff

  Sign

Office Use Only

• Review HSEQ Coordinator

• Select date

  Date

• Corrective Actions/Improvement Requests Raised