Construction Site Safety Report Form
Construction Site Safety Report Form
Please fill out this form completely to report safety conditions or incidents on the construction site.
Personal Information
Name
Job Title
Company Name
Phone number
Site Information
Project Name
Address
Date and Time of Report
Type of Report
Please check one.
-
Safety Inspection
-
Incident Report
-
Near Miss Report
-
Hazard Identification
-
Description of Safety Issue/Incident
Please provide a detailed description of the safety condition or incident
Actions Taken
Please describe any actions taken to address the issue or incident
Additional Comments
Signature
Name:
Date:
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