Title Page

  • Jobsite Location:

  • Jobsite Foreman:

  • Date:

  • Workplace was Injury and Incident free today?

  • Provide brief description of what transpired and supervisor this was reported to:

  • Was an effective tie-in performed to prevent water infiltration and inspection performed to ensure drains clear? Click N/A if today's job scope makes need for tie ins not applicable.

  • MANDATORY: Take photo of all roof tie-ins

  • Was project reviewed to ensure materials are well secured to prevent them from becoming airborne?

  • Are appropriate security measures in place (i.e. Ladders removed if site not secured, tools locked up as required, keys for heavy equipment removed or hidden, etc.)

  • Any safety or quality related issues created by other contractors or 3rd parties have been adequately addressed.

  • Provide details of issues / concerns. Include photographs if possible.

  • Additional Notes:

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.