Contractor Compliance Report Form
Use this form to document and verify contractor compliance for projects or worksites.
Contractor Company Name
*
Contractor Contact Person (Full Name)
*
First Name
Last Name
Contractor Contact Email
*
example@example.com
Contractor Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project or Worksite Name/Location
*
Date of Compliance Check
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which compliance areas were reviewed?
*
Valid Contractor License
Proof of Insurance
Safety Training Certification
Work Permits
Equipment Inspection
Other
Upload Contractor License (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Proof of Insurance (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Safety Training Certificate (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Compliance Findings and Notes
*
Were any compliance violations observed?
*
No violations observed
Yes, violations observed (please describe below)
If violations were observed, describe corrective actions required or taken
Name of Person Completing Report
*
First Name
Last Name
Submit Compliance Report
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