Weekly Site Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Work of Engineering

• Building Construction

• New Project

• Upgrading

• Structure Works

• Mechanical & Electrical Works

Unsafe Act:

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

Unsafe Condition:

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

5 S Implementation:

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Work Area:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

• Overall Comment:

• Inspection done by:

  Sign