Construction Site Level 2 Safety Survey
Report and assess Level 2 safety conditions on your construction site. Please answer all questions based on current site conditions.
Your role on site
*
Please Select
Worker
Supervisor
Site Manager
Visitor
Other
Date of assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate overall safety awareness among workers on site?
*
1
2
3
4
5
Are all workers wearing the required personal protective equipment (PPE)?
*
Yes, all workers are compliant
Most workers are compliant
Some workers are not compliant
Many workers are not compliant
Which of the following hazards are present on site? (Select all that apply)
*
Open trenches or holes
Unsecured materials
Electrical hazards
Slip, trip, or fall risks
Machinery in operation
Other
Housekeeping: Are walkways and work areas kept clear of debris and materials?
*
Always
Most of the time
Sometimes
Rarely
Equipment safety: Are tools and equipment inspected and used correctly?
*
Yes, all equipment is safe and properly used
Minor issues observed
Several issues observed
Major safety concerns
Incident and near-miss reporting: How confident are you that incidents or near-misses are reported promptly?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Emergency preparedness: Are emergency exits and procedures clearly communicated?
*
Yes, fully communicated
Partially communicated
Not communicated
Please provide any additional comments or observations regarding Level 2 safety on site.
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