Construction Site Safety Assessment Form

Construction Site Safety Assessment Form
Please complete this form to assess the safety conditions at the construction site.
Assessor's Full Name
First NameLast Name
Date of Assessment
MonthDayYear
Date
Site Location
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Safety Equipment Availability
Hard HatsSafety GlassesGlovesSafety BootsHigh Visibility ClothingHarnesses
Are safety protocols being followed?
YesNoPartially
Hazardous Conditions Observed
Additional Comments
Should be Empty: