Print this page or download the one-page sheet for handwritten notes.
Use this printable sheet to organize observations in areas you are authorized to access. Follow the site’s reporting procedure for urgent concerns. These notes support communication; they are not a formal inspection or a complete hazard assessment.
Site / area: ____________________ Date / time: ____________________
Observer / role: ____________________ Contact person: ____________________
Describe what you notice
- Location and activity: What is happening, and where?
- Access and movement: Which arrangements need clarification?
- Materials and housekeeping: What has changed since work began?
- Equipment or environment: What observation should the responsible person review?
- Coordination: Which other person or trade may have relevant information?
Observation record
Location: ______________________________________________________________
Observed condition: ___________________________________________________
Question or concern: ___________________________________________________
Reported to / time: _____________________________________________________
Record the follow-up
Action agreed by responsible person: _____________________________________
Person responsible / due date: ___________________________________________
Outcome / date checked: __________________________________________________
Describe what you observed and distinguish it from an assumption. Keep sensitive personal details out of a general walkthrough record. OSHA’s worker participation guidance discusses reporting concerns and giving feedback about action taken.