Undercover Safety Inspection

Use this general safety observation report when conducting a safety inspection of a workplace. Observe and document Safety Mentions, Opportunities for Improvement and Critical Items that need resolving.

Title Page

Company/ Worksite
Inspected by
Date and Time
Location

Inspection Observations

Safety Mentions

List of Positive Safety Observations
Safety mention category
- Confined Space
- Crains & Hoists
- Electrical Safety
- Emergency Egress & Equipment
- Ergonomics
- Fire Safety
- Forklifts/PIVs
- Hand Tool Safety
- HAZCOM
- Hot Work Safety
- Ladder Safety
- Lockout Tagout
- Machine Guarding
- Material Handling
- PPE (Personal Protective Equipment)
- Safety Signage
- Working from Heights
Observation Description

Opportunities for Safety Improvement

Safety hazards/Potential OSHA violations
Opportunities for improvement category
- Confined Space
- Crains & Hoists
- Electrical Safety
- Emergency Egress & Equipment
- Ergonomics
- Fire Safety
- Forklifts/PIVs
- Hand Tool Safety
- HAZCOM
- Hot Work Safety
- Ladder Safety
- Lockout Tagout
- Machine Guarding
- Material Handling
- PPE (Personal Protective Equipment)
- Safety Signage
- Working from Heights
Observation Description

Critical Safety Items. (Need Correction ASAP)

Below Items need to be corrected ASAP to avoid potential incidents/injuries or Major OSHA Violation
Critical item category
- Confined Space
- Crains & Hoists
- Electrical Safety
- Emergency Egress & Equipment
- Ergonomics
- Fire Safety
- Forklifts/PIVs
- Hand Tool Safety
- HAZCOM
- Hot Work Safety
- Ladder Safety
- Lockout Tagout
- Machine Guarding
- Material Handling
- PPE (Personal Protective Equipment)
- Safety Signage
- Working from Heights
Observation Description