Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Commendable safe acts or conditions observed.

  • Did the project manager observe and safe acts or conditions while on site?

  • What safe act or condition was observed?

  • Add photo of the safe act or condition.

  • Explain in greater detail below.

  • Was anyone praised for the safe act or condition? If so add their first and last name, and company they work for, if not add why they were not praised for being safe?

  • Who was praised for safe act or condition? Include first and last name, company, and title/postion.

  • Why was there no one praised for safe act or condition?

Unsafe acts or conditions observed

  • Were there any unsafe acts or conditions observed? Add comments and pictures below.

  • What safe act or condition was observed?

  • Explain in greater detail below.

  • Add photo of any unsafe act or condition observed.

  • Was the unsafe act or condition corrected? Explain what was done below.

  • Who was the correction discussed with? List all involved with the corrective action to fix the unsafe act or conditons.

Items discussed with Superintendents:

  • Submitted By:

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