Work site task observation

• Site Name

• Name of contractor / main contractor in charge of work being observed

• Location
  Address

• Prepared by

• Conducted on

  Date

Task Observed

• Was this a scheduled visit ?

  Yes

  No

  N/A

• On arrival was there a sign in register ?

  Yes

  No

  N/A

• Was this observations discussed with any of the site team ?

  Yes

  No

  N/A

• Describe what was discussed ?

Observation

• What tasks were observed , please provide some detail ?

• Is this a safe or unsafe acts or conditions

  Safe

  Unsafe

• Were any corrective actions created as part of this observation ?

Sign off

• Signature of witness

  Sign