Construction Safety Site Report

You are here:

Name

Union Number *

Telephone Contact Number

Email * optional

Employer

1. Please give the name and location of the site.

2. Have you made your employer and/or the site manager aware of the safety issues?

3. Who is the Main Contractor on Site (please give any contact details for person(s) in charge).

4. Who is the Mechanical Contractor on Site (please give any contact details for person(s) in charge).

5. Who is the Electrical Contractor on Site (please give any contact details for person(s) in charge).

6. Are you working on site?

7. What time would best suit to call you if we need to discuss the issue with you?

Please outline the safety issues on site:

This report form is confidential, and your details will not be shared with any third party.

The information outlining the issue is the only information that will be shared in order to address the issues as raised by you.

Phone