Thompson Thrift Construction Notice of Unsafe Acts

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Subcontractor

Observed Violations

• Type of Violation

  Select Electrical Excavations Fall Protection Ladders Other Personal Protection Equipment Scaffolding Steel Erection

  • Electrical
  • Excavations
  • Fall Protection
  • Ladders
  • Other
  • Personal Protection Equipment
  • Scaffolding
  • Steel Erection

• Hazard

• Add media

  Media

• Location

• Repeat Violation?

  Yes

  No

  N/A

• Corrective Action(s)

• Type of Violation

  Select Electrical Excavations Fall Protection Ladders Other Personal Protection Equipment Scaffolding Steel Erection

  • Electrical
  • Excavations
  • Fall Protection
  • Ladders
  • Other
  • Personal Protection Equipment
  • Scaffolding
  • Steel Erection

• Hazard

• Add media

  Media

• Location

• Repeat Violation?

  Yes

  No

  N/A

• Corrective Action(s)

• Type of Violation

  Select Electrical Excavations Fall Protection Ladders Other Personal Protection Equipment Scaffolding Steel Erection

  • Electrical
  • Excavations
  • Fall Protection
  • Ladders
  • Other
  • Personal Protection Equipment
  • Scaffolding
  • Steel Erection

• Hazard

• Add media

  Media

• Location

• Repeat Violation?

  Yes

  No

  N/A

• Corrective Action(s)

• Type of Violation

  Select Electrical Excavations Fall Protection Ladders Other Personal Protection Equipment Scaffolding Steel Erection

  • Electrical
  • Excavations
  • Fall Protection
  • Ladders
  • Other
  • Personal Protection Equipment
  • Scaffolding
  • Steel Erection

• Hazard

• Add media

  Media

• Location

• Repeat Violation?

  Yes

  No

  N/A

• Corrective Action(s)

• Additional Comments

• Foreman Signature

  Sign

The assessors believe the information contained within this risk assessment report to be correct at the time of printing. The assessors do not accept responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the assessors during the day of the assessment and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made nor is the assessment meant to be all inclusive. Please consult the current OSHA and Workman's Compensation regulations specific to the State in which the workplace activities are taking place.