Contractor Safety Audit Review System

Department:
Location:
Description of Severity rating:-
1= Untidy area, minor issues, sets poor example
2=Restricted access, unacceptable trash, disorderly
3=Rule or procedure violation, potential injury
4=Unsafe condition, serious injury potential
5= Immediate serious injury potential, stop activity immediately and correct
Total contractor people working at site :
Reviewed By: Review Date:
Criteria

Verifica
Sl

tion Of
Target

Action
Taken

Status
Severit
Focused/Prioritised Audit

Action

Date
y Rate
n

Plan
o Description

Remarks (if any):

Signature Of Reviewing Authority:

Contractor Safety Audit Review System