Site Safety Check

• Conducted on

  Date

• Prepared by

• Add location
  Address

• Select date

  Date

Safety Audit Details

• Is site clean?

  Select Yes No

  • Yes
  • No

• If site is not clean, please describe condition:

• Is there an ongoing Safety Infraction?

  Select Yes No

  • Yes
  • No

• Was Safety Fine assed? If so, what was amount?

• Safety Infraction Description:

• Safety Infraction (drawing, if needed):

  Drawing

• Safety Infraction Picture:

  Media

• Sign:

  Sign