Information

  • Document No.

  • Safety Involvement Report

  • Prepared by

Use this application to report one or more safety involvement activities in which you have participated. Select activities by using the checkbox below.

  • Lead or participate in morning stretching.

  • Please enter the name of the jobsite where this activity was completed.

  • Pease enter the date this activity was completed.

  • Attend or conduct a Toolbox Talk safety meeting.

  • Please enter the name of the jobsite where this activity was completed and the Toolbox Talk topic.

  • Pease enter the date this activity was completed.

  • Conduct a "Jobsite Safety Survey".

  • Please enter the name of the jobsite where this activity was completed.

  • Pease enter the date this activity was completed.

  • Conduct a pre-construction meeting that includes safety planning for your project.

  • Please enter the name of the jobsite where this activity was completed.

  • Pease enter the date this activity was completed.

  • Complete a method of procedure (MOP), pre-task plan, or integrated work plan (IWP) required for your job.

  • Please enter the jobsite and task/process for which this plan was created.

  • Pease enter the date this activity was completed.

  • Complete a "Near Miss or Hazard Report" card.

  • Please enter the name of the jobsite where this activity was completed.

  • Pease enter the date this activity was completed.

  • Employee Safety Contact

  • Enter the type of employee safety contact this was.

  • Please describe employee contact, include employee & jobsite name(s).

  • Enter date and time:

  • Check in with a newly hired Apprentice or Journeyman to stress our safety focus.

  • Pease document your conversation, including the name of the employee and the jobsite.

  • Pease enter the date this activity was completed.

  • Participate in an accident or near miss incident review.

  • Please indicate the name of the jobsite where the incident occurred, and the result of the review.

  • Pease enter the date this activity was completed.

  • Attend and participate in a jobsite safety recognition lunch.

  • Please enter the name of the jobsite where this activity was completed.

  • Pease enter the date this activity was completed.

  • Attend or participate in Leadership Safety Training (held 3x per year).

  • Pease enter the date this activity was completed.

  • Attend and participate in OSHA consultation meetings at your jobsite.

  • Please enter the name of the jobsite where this activity was completed. List any recommendations made for Hunt.

  • Pease enter the date this activity was completed.

  • Read the book "Safety by Objectives" or "Safety, A Human Approach" by Dan Peterson.

  • Pease enter the date this activity was completed.

  • Other (create your own, and describe what you did below):

  • Document your activity here:

  • Pease enter the date this activity was completed.

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.