Safety Coordinator Daliy Report

• Daily Safety Coordinator Report

  Sign

• Conducted on

  Date

• Time in / Clock in

  Date

• Time out / Clock out

  Date

• Project Name

• Location

  Select

• Owner/General Contractor

• Supervisor/PM/ Superintendent

• Leadmen

• Did you attend a JHA meeting?

  Yes

  No

  N/A

• Place picture of whiteboards (HERE)

  Yes

  No

  N/A

• Where any toolbox talks conducted?

  Yes

  No

  N/A

• Where any trainings completed (Documented & Signed)

  Yes

  No

  N/A

• Personnel safety complaint?

  Yes

  No

  N/A

• Subcontracto's safety compliance?

  Yes

  No

  N/A

• Any Site Safety Concerns/Issues?

  Good

  Fair

  Poor

  N/A

• Any critical activities/operations?

  Safe

  At Risk

  N/A

• Inspection completed by operators? (if applicable)

  Yes

  No

  N/A

• General Housekeeping Concerns/Issues?

  Yes

  No

  N/A

• Where there any Incidents/Accidents reported? (Internally/Externally)

  Yes

  No

  N/A

• Vehicle Incidents/Accidents?

  Yes

  No

  N/A

• Heavy Equipment Incidents/Accidents?

  Yes

  No

  N/A

• GC, PM, Facility Management Safety Meetings?

  Yes

  No

  N/A

• PPE Orders Requested by Field Supervision?

  Yes

  No

  N/A

SAFETY SYNOPSIS/NOTES

• Safety Summary:

• Any suggestions/Recommendations:

• Goals for the day:

• Additional 📸 Pictures Please attach (Here)

  Media

Concluding Comments

• Safety Coordinator Comments: Documents, Critical Observations, serious safety violations observed, employee counseling, deficiency in training and/or disciplinary actions?

• Supervisor/Employee/Leadman Comments:

• Safety Professional Signature