Construction Site Safety Observation Record Form
Date
Time
Observer Name
Location
Work Activity Observed
Description of Observation
Unsafe Acts / Conditions Observed
Corrective Actions Taken
PPE Compliance
Yes
No
Partial
Equipment / Tools Being Used
Hazard
Observed (Yes/No)
Details
Fall Hazard
Electrical Hazard
Fire Hazard
Chemical Hazard
Other
Additional Comments
Observer Signature
Date
Supervisor Signature
Date