Construction Field Assessment Form
Complete this Construction Field Assessment Form to evaluate key aspects of the construction site. Please provide accurate and objective information for each section.
Site Name or Location
*
Assessor Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Site Safety Rating
*
1
2
3
4
5
Site Cleanliness
*
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Equipment Condition
*
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Regulatory Compliance Observed
*
Fully Compliant
Partially Compliant
Non-Compliant
Hazards Observed On Site
None
Trip/Fall Hazards
Unsecured Materials
Electrical Hazards
Other
Key Areas Checklist
*
Rows
Pass
Fail
N/A
Personal Protective Equipment
1
2
3
Signage & Barricades
4
5
6
First Aid Availability
7
8
9
Access/Egress Clear
10
11
12
Additional Comments or Observations
Submit Assessment
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