Site Observation Checklist
Complete this checklist to document your site inspection and note any issues or actions needed.
Site Name or Location
*
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Observer Full Name
*
First Name
Last Name
Observer Email Address
*
example@example.com
Observation Areas Checklist
*
Rows
Compliant
Needs Attention
Not Applicable
Site Cleanliness
1
2
3
Safety Equipment Available
4
5
6
Signage and Markings
7
8
9
Hazardous Materials Stored Properly
10
11
12
Emergency Exits Clear
13
14
15
Machinery/Equipment Condition
16
17
18
Rate Overall Site Safety
*
1
2
3
4
5
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Were any incidents or near-misses observed?
*
No incidents observed
Yes, incident(s) observed
If yes, describe the incident(s)
Additional Comments or Recommendations
Observer Signature
*
Submit Checklist
Submit Checklist
Should be Empty: