Contractor Safety Checklist
Contractor Safety Checklist
Contractor Company Name
*
Site Location
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor Name
*
First Name
Last Name
Personal Protective Equipment (PPE) Compliance
*
All PPE present and used correctly
Some PPE missing or used incorrectly
No PPE used
Hazard Assessment Completed
*
Yes
No
Equipment Inspection Status
*
All equipment inspected and safe
Minor issues found
Major issues found
Emergency Procedures Communicated
*
Yes
No
Work Permit Status
*
Valid and displayed
Expired or missing
Additional Comments or Observations
Inspector Name
*
First Name
Last Name
Submit Checklist
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