Site Safety Protocols Evaluation Form
Evaluate site compliance with safety protocols and identify areas for improvement.
Site Name or Location
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator Full Name
*
First Name
Last Name
Evaluator Role/Position
*
Contact Email
example@example.com
Personal Protective Equipment (PPE) Compliance
*
Rows
Compliant
Non-Compliant
Not Applicable
Hard hats worn
1
2
3
Safety vests visible
4
5
6
Protective footwear used
7
8
9
Eye/face protection as needed
10
11
12
Site Safety Signage
*
Rows
Present & Clear
Missing/Obscured
Not Applicable
Warning signs posted
13
14
15
Emergency exit signs visible
16
17
18
Hazardous area signage
19
20
21
Emergency Procedures Awareness
*
All staff aware and trained
Some staff aware, training needed
No staff aware
Equipment and Machinery Safety
*
Rows
Safe & Maintained
Needs Attention
Not Applicable
Guards in place
22
23
24
Regular maintenance logs
25
26
27
Operator trained
28
29
30
Housekeeping & Site Cleanliness
*
Excellent
Good
Needs Improvement
Overall Site Safety Rating
*
1
2
3
4
5
Comments and Observations
Recommended Corrective Actions
Submit Evaluation
Should be Empty: