Subcontractor Safety Warning

This form has two purposes

The first is to put the subcontractor or subcontractor’s employees on notice that they are in violation of Company safety procedures and to demand that the subcontractor return to compliance.

The second is to document that you, as the job supervisor, are serious about enforcing Company safety procedures, and will not tolerate non-compliance.

SUBCONTRACTOR SAFETY WARNING

SITE SUPERVISOR
Complete upon observing a violation of any safety regulation.

PROJECT MANAGER
Copy to Project Binder, Copy to Accounting/Risk Management.

ACCOUNTING/RISK MANAGEMENT
File in Safety Compliance folder for minimum 5 years.

Project

Builder

Builder Representative

Subcontractor

Date of warning

We are issuing a Safety Warning

The safety warning is for:

An exposure A near miss Non-compliance with safety regulations

The Subcontractor was immediately notified of the warning.

Yes No

The subcontractor was notified via:

Not applicable In person A telephone call Email Text Message Other

The Safety Warning

Where on the project did the warning take place?

What work was being done at the time of the warning?

Describe the warning.

Full names of any other persons involved in the warning.

Full names of any witnesses to this warning.

Follow-Up

What action is suggested to prevent a recurrence of the warning?

Note 1

Note 2

Note 3

Send to

Representative email

Subcontractor email

Project Manager email

Risk Manager email

Copy to

When the “Send Inspection Report” button is selected, an email with all the information in this Inspection Report will be sent to the “Builder email” address of the Company Representative completing this report and to the “Subcontractor email” address and “Copy to” addresses if provided.

When submitted, form responses are sent to the email addresses provided and then deleted. IF YOU WISH TO RETAIN THE INFORMATION YOU HAVE ENTERED, ADD AN EMAIL ADDRESS BEFORE SUBMITTING.