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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 seriou injury potential, stop
activity immediately and correct
Description of Severity Rating:
CONTRACTOR WEEKLY FIELD AUDIT REPORT
Date Site:
Name of Auditor:
Name of Enginear: Mr. G.B Singh, R. M Tripathi, V. B Singh, Prasant, Saha & Prakash
Name of Contractor:
Audit Time:
Weather: Sunny
Severity Index = Serverity X Violation
Total No. of Violations
Sl.
No.
Responsible
Number
Personnel
Observed
Violations
Leading
Indicators
TRF Engineer
Contractors
Good
Citizens
Violators
Number of
Violators
Severity
Violations x
Severity
Number of Severity of 4 & 5 Violations
Unsafe
Condition
Unsafe Act
1
All floors and stairs without hand rail or life line thopugh no work is being going on at floor at
tp 37 & 38.
Sl.
No.
Responsible
Number
Personnel
Observed
Violations
Leading
Indicators