Supervisor Hazard Audit

• Supervisor Hazard Audit

• Site

• Area

• Job

• Conducted on

  Date

• Lead Auditor:

• Audit Team:

Observations

• Tap to add observations.

Observation

• I Observed the following.

  Select Positive Note Unsafe Act Unsafe Condition Repeat Personal Protective Equipment Housekeeping Environmental

  • Positive Note
  • Unsafe Act
  • Unsafe Condition
  • Repeat
  • Personal Protective Equipment
  • Housekeeping
  • Environmental

• Observation

• Add media

  Media
• Location
  Address

• Correction Due Date

  Date

• Responsible Party (Craft/Supervisor)

• Was the issue corrected immediately?

  Yes

  No

• Date Corrected.

  Date

• Signature of Supervisor.

  Sign