Project Safety Compliance Monthly Report
Complete this form to report on your project's safety compliance, incidents, and corrective actions for the current month.
Project Name
*
Reporting Month and Year
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Full Name of Person Completing Report
*
First Name
Last Name
Position/Role
*
Contact Email
*
example@example.com
Safety Compliance Checklist
*
Rows
Compliant
Non-Compliant
Not Applicable
Personal protective equipment (PPE) usage
1
2
3
Site access control
4
5
6
Equipment inspections
7
8
9
Emergency exits accessible
10
11
12
Fire extinguishers available and checked
13
14
15
First aid kits stocked
16
17
18
Safety signage visible
19
20
21
Housekeeping and cleanliness
22
23
24
Were there any safety incidents or near-misses this month?
*
Yes
No
If yes, please describe the incident(s), including date, location, and actions taken. (If no, leave blank.)
Corrective or Preventive Actions Taken or Planned
*
Additional Comments or Observations
Submit Report
Should be Empty: