Transcription of Major Activities Completed
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Example: dental hygienist
Major Activities Completed
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 Cas es: #____ Near Miss es: #____ Releas es/Spills of Hazardous Materials: Weekly Inspection Summary Weekly Inspection Findings and Resolution: Saf ety Suggestions: Contractor Site Superintendant Name: Contractor Safety Officer/Rep Name: Sign and date: Sign and date: Contractor s Weekly EHS Report Instructions: This form is to be Completed at the end of each week that work is performed by a contractor on SURF property. The form is to be turned in, with all of the pertinent attachments, to the SURF POC by Tuesday of the following week.
Contractor’s Weekly EHS Report . Instructions: This form is to be completed at the end of each week that work is performed by a contractor on SURF property.
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