Weekly Contractor Safety Planning

Site Permit & Risk Assessment Form

1 GENERAL INFORMATION

Project / Task:

Date / Week:

Contractor Company:

Team Leader:

Job Site Coordinator:

Signature:

2 HIGH-RISK TRIGGERS 0 selected

If any box is checked, the Project Manager (PM) must be notified to issue specific working permits on-site prior to execution. Checking a box here automatically activates the matching permit checklist in Section 4.

	Risk Category	Trigger Condition

3 STANDARD LAST MINUTE RISK ASSESSMENT (LMRA)

	Check Item (To be verified on-site)

4 CONDITIONAL PREPARATIONS

Only the permit checklists relevant to the risks selected in Section 2 are shown. Expand a category for the full requirement list and confirm items as verified on-site.

No high-risk triggers selected in Section 2 — no additional preparations required.

5 SPECIAL ACTIONS FOR WORK EXECUTION

Use this space to document any special actions, additional precautions, or deviations agreed for this specific work that are not already covered above.