| Company Name | Supervisor Name | ||
|---|---|---|---|
| Contractor Name | Date | ||
| Contact Number | Project/Location |
| Checklist Item | Completed | Comments |
|---|---|---|
| Site-specific safety rules reviewed | ||
| Personal Protective Equipment (PPE) requirements | ||
| Emergency procedures & contacts | ||
| Hazard Communication / SDS location | ||
| Reporting incidents and near misses | ||
| Access/egress & restricted areas explained | ||
| Specific hazards reviewed (e.g., confined space, work at height, LOTO) | ||
| Security and visitor policy | ||
| Waste disposal and environmental practices |
| Contractor Signature | Date | ||
|---|---|---|---|
| Supervisor Signature | Date |