Flagging Operations Daily Safety Form
Date
Project Name/Location
Supervisor
Flagger Name
Shift Time
Pre-Operations Inspection
High Visibility Vest
Stop/Slow Paddle
Whistle
Two-way Radio
Signage
Site Safety Checks
Advance Warning Signs in Place
Tapers and Buffer Space Set
Safe Flagger Positions Identified
Public Properly Alerted
Hazards Identified
Corrective Actions Taken
Additional Notes
Flagger Signature
Date