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 site 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
File in Project Binder.

RISK MANAGER
File in Safety Compliance folder for minimum 5 years.

Project

Builder

Site Supervisor

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?

Other Notes

Send to

Site Supervisor

Subcontractor

Project Manager

Risk Manager

Copy to

When the “Send Safety Warning” button is selected, an email with all the information in this Safety Warning will be sent to each of the email addresses provided.