Customer Name*

Comments

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Skilled Trade

# of PRST on site

Below are a list of general safety obversations. Anything that conflicts with PRST's standard of safety, please address with the site supervisor.

Has site specific safety training being provided?*

Does customer have written safety program?*

Has written safety program been provided to the branch?*

Are power tools in safe condition?*

Are power tool guards in place?*

Electrical cords and equipment in safe condition?*

Site free of excessive noise?*

Proper lifting techniques used?*

Are trenches free of water and properly shored?*

Are hazardous materials handled and stored properly?*

Is Fall protection being used?*

Exits clearly marked?*

First aid kit, visible in trailer or onsite?*

PPE required and being used onsite*

If any of the boxes above are unchecked and that ppe is required, please explain the corrective action.

Corrective action

Overall Evaluation*

Please take a photo

Evaluation by:*

First Name Last Name

Date*

Date

Construction Job Site Evaluation