Construction Break Report Form
Report a work stoppage or break on the construction site using this Construction Break Report Form.
Site/Location Name
*
Specific Area or Section
Date and Time of Break
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Break
*
Please Select
Equipment failure
Weather conditions
Material delay
Safety concern
Other
Describe the Affected Work
*
Estimated Duration of Break (minutes)
Is the site currently safe?
*
Yes
No
If not safe, describe the safety concern
Reported by (Full Name)
*
First Name
Last Name
Additional Comments
Submit Report
Should be Empty: