BUL Site Evaluation

BUL Site Evaluation

This document is to be completed once per visit to a company project or satellite facility by a Business Unit Leader.
Business Unit
Project / Office / Warehouse Location
Referred to as "Site" in the questions.
Project Number (if applicable)
If Applicable
Project Leader:

First NameLast Name
Project Leader / Project Manager:
Field Leader:
Conducted By:
Conducted By:

First NameLast Name
Date Conducted:

MonthDayYear
Date
Were you given a safety brief by a field leader prior to touring the site covering the hazards and protections you should be aware of?
How would you rate our housekeeping on the site?
How would you rate our safety culture on the site?
How would you rate the customer's satisfaction with our safety effort and results?
How would you rate our leadership culture of the site?
Plan of the Day Meeting
Did you attend a pre-shift Plan of the Day meeting?
Was safety discussed?
Was the site safety professional present and involved?
Team Member Interview: Select a random craft worker, introduce yourself, and ask them if they are willing to answer a few questions.
Name of person you interviewed:

First NameLast Name
Does the start of the shift safety meeting and safety documents prepare you to work safely that day?
Has the company supplied you with the correct equipment and training to work safely?
Select one of the following Leadership Influence in Safety questions from the drop down list and record the employee's answer in the space below.
Employee's answer:
Additional General Comments:
Enter your email address if you want a copy of the completed evaluation:
example@example.com
Should be Empty: