EHS Field Evaluation

Environment, Health & Safety Field Assessment

🛡️ Safety Performance Evaluation

📋 Evaluation Information

Name of Auditor *

Date *

Company *

Location *

Specific Location

Description of Work Being Performed *

General Findings/Observations

⭐ Performance Ratings

Rate each category based on observed performance during the evaluation.

Performance Category	Excellent	Good	OK	Needs Improvement	Poor
Understanding of Hazards and Mitigations
Following Work Permit Requirements
Communication of Simultaneous Operations
Knowledge of Emergency Action Plans
Appropriate Use of Adequate PPE
Appropriate Positioning of Equipment
Appropriate Gas Venting Operations
Adequate Bonding/Grounding

✅ Compliance Checks

Compliance Item	Status
PPE Certifications Current
Atmospheric Monitors Calibrated & Bump Tested
Well Entry Guidelines Available & Followed
Hi/Low Pressure Tests Completed

📝 Action Items

Action Items Needing Follow Up

Responsible Party & Due Date

Actions Added to SAIL Log? *

Yes - Added to SAILNo - Not AddedN/A - No Actions

📸 Photos (0/6)

📷 Take Photo📁 Choose Files