Project Site Health, Safety / Audit Report

Select date MM slash DD slash YYYY
(Be sure to include description of any non-routine or special hazard tasks).
ERC Health & Safety Plan on site
Site-Specific Health & Safety Plan on site
Work Zones Established
Traffic Control
Safety Data Sheet (SDS) / Hazard Communication Info
Site Security
Daily Safety Meetings Held & Documented
Hazard-Specific Personal Protective Equipment
Daily Inspections Conducted / Documented
Respiratory Protection
First Aid Kit
Monitoring Instruments
Fire Extinguishers
Personnel Monitoring
Cell Phones / Emergency Alerts
Non-Routine Work Permits (e.g., Confined Space)
Non-Routine Work Equipment (e.g., Ventilation)
Sanitary & Wash Facilities
Other Safety Issues
If yes, list the subcontractors, and describe subcontracted work and subcontractor’s Health & Safety compliance measures. Do they have current insurance for us?
(Describe potential Health, Safety or Environmental compliance concerns, and corrective actions taken or recommended).
(Provide any other information or recommendations pertinent to this inspection / Audit).
MM slash DD slash YYYY
Supervisor Verbally Agreed
MM slash DD slash YYYY
Safety Officer Verbally Agreed
This field is for validation purposes and should be left unchanged.