Contractor’s Weekly EHS Report
Week Ending____/____/________
Report Date:____/____/________
Project Name:
Prime Contractor:
SURF Project Manager:
SURF EHS POC:
Subcontractors on-site this week
EHS Attachment s included:
Major Activities Completed
Weekly Statistics
OSHA Recordable Injuries:
#____
First Aid Cases:
#____
Near Misses:
#____
Releases/Spills of Hazardous Materials:
#____
Weekly Inspection Summary
Weekly Inspection Findings and Resolution:
Safety Suggestions:
Name:
Name:
Contractor Site
Contractor Safety
Superintendant
Officer/Rep
Sign and date:
Sign and date: