Safety Observation Report - SSC Construction Safety

Safety Observation Report

Date:

Time:

Supervisor:

Observation:

Action Taken:

Immediate Corrective Action:

Action to Prevent Recurrence:

Indirect Cause:

_______

Corrective Action:

______

Commitment:

____________

Further Action or Help Needed?

Signature:

Safety Means Awareness Responsibility & Teamwork

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