Information

  • Project:

  • Location
  • Inspection Date:

  • Inspected By:

  • Workers/subcontractors Inspected:

SECTION 1: SAFETY

1.0 GENERAL

  • 1.1 Field Workforce Information Pack is readily accessible on site and up to date with information ( E.G: Alerts)

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  • 1.2 Workers are wearing the appropriate Personal Protective Equipment (PPE) including but limited to steel cap boots, high-vis vest / clothing, safety glasses and hard hat?

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  • 1.3 Specialist PPE is being used appropriately and according to hazardous task and SHEWMS (ie: Exposure to Asbestos)?

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  • 1.4 PPE is fit for purpose and in good condition?

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  • 1.5 All workers are trained on how to use PPE?

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  • 1.6 Materials in vehicles are stored adequately?

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  • 1.7 Site and/or pathways clear of slip / trip hazards?

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2.0 HAZARDOUS SUBSTANCES

  • 2.1 Is storage for hazardous substances secure and in accordance with the appropriate Material Safety Data Sheets (MSDS)?

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  • 2.2 Is there a hazardous substance register on site and does this reflect the substances being used and stored?

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  • 2.3 Is the MSDS available and readily accessible on site for each substance in use?

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  • 2.4 Are all containers labelled clearly?

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  • 2.5 are storage containers adequately ventilated?

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  • 2.6 are gas bottles stored upright and secured?

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3.0 INDUCTION TRAINING / CERTIFICATES

  • 3.1 Have all persons on site undertaken the appropriate induction training?

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  • 3.2 Are personnel appropriately licensed / certified to undertake work where applicable? ( E.G. Excavators, Riggers, Crane drivers, etc)

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4.0 ELECTRICAL WORKS / EQUIPMENT

  • 4.1 No live work is being completed (or if there is live work it has been approved in writing by a General Manager?

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  • 4.2 Electrical work is only being completed by certified and competent personnel?

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  • 4.3 A test for positive isolation is being completed where required?

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  • 4.4 Isolation tags along with both master and individual locks are provided and used for all electrical Isolations?

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  • 4.5 Electrical leads are kept off ground surface and are supported on portable stands?

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  • 4.6 Are electrical plant, tools, equipment, and electrical cords inspected, in good condition, tagged and within test dates, including Residual Current Devices (RCD's)?

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  • 4.7 Is there a completed register for electrical equipment?

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  • 4.8 Portable Generators on sites are fully serviceable and properly maintained?

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  • 4.9 Are temporary supply switchboards locked, secured and each supply out put clearly marked?

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  • 4.10 Earth Leakage Protection (ELP) is fitted to all tools and equipment?

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5.0 TOOLS / PLANT

  • 5.1 Are tools / plant being used in a safe manner with the required guarding on- site?

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  • 5.2 Is there a completed register for plant and equipment

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  • 5.3 Are tools & plant stored securely?

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  • 5.4 Are rotating amber beacons fitted and operational on plant?

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  • 5.5 Are reversing alarms fitted and operational on all mobile plant?

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  • 5.6 Are certified ROPS / FOPs fitted to plant?

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  • 5.7 Are the operators completing daily pre- start checklists?

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  • 5.8 Are operators wearing seat belts?

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  • 5.9 Are spotters authorised to enter no go zones?

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  • 5.10 Are persons working with plant appropriately trained and certified?

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  • 5.11 Are logbooks and inspection check sheets containing full service and repair history of plant available?

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  • 5.12 Is the correct PPE provided and worn by those in and around plant?

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6.0 SITE SECURITY & PUBLIC PROTECTION

  • 6.1 Is the site secure from entry by unauthorised persons, particularly after hours? (Consider both safety and security, remembering that children may try to enter to the site.)

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  • 6.2 Are movements of people on and off site controlled?

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  • 6.3 Is night lighting sufficient?

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  • 6.4 Do pedestrians have safe passage?

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7.0 WORKING AT HEIGHTS

  • 7.1 Are all fall hazards identified and controls in place?

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  • 7.2 Is there an up to date working at height permit for any work over 5 metres?

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  • 7.2 Is there an up to date working at height permit for any work over 5 metres?

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  • 7.4 Are guard rails / barriers in place?

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  • 7.5 Are all personnel required to work at heights trained and competent to do so?

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  • 7.6 Is there a rescue plan in place and adequate rescue equipment (height or tower rescue kit) readily accessible on site?

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  • 7.7 Are there exclusion zones established around any work at height?

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  • 7.8 For pole work, has the pole been tested?

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  • 7.9 Harnesses, lanyards and other fall arrest equipment have been inspected prior to use in accordance with AS1891.4?

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8.0 LADDERS

  • 8.1 Ladders inspected and in good condition?

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  • 8.2 Ladders properly secured top and bottom?

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  • 8.3 Side rails on fixed ladders extend above top landing?

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  • 8.4 Step ladders fully open when in use?

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  • 8.5 Built up ladders extend above top landing?

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  • 8.6 No portable metal ladders in use?

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9.0 TRENCHING, EXCAVATION AND DRILLING

  • 9.1 Is there an Excavation / Drill Permit completed and available on site for any drilling or excavation works?

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  • 9.2 Are there overlay plans available on site?

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  • 9.3 Have all utility services been located using a locating device as per plans?

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  • 9.4 Have all utility services been marked up and positively identified via non- destructive means as per permit?

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  • 9.5 There are appropriate forms of access and egress (E.g. ramps, ladders, etc.) in trenches deeper than one metre?

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  • 9.6 Has a daily pre-start inspection been completed on any operating plant or equipment?

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  • 9.7 Are the appropriate physical barricades and signage in place for trenches or excavations deeper than 2m?

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  • 9.8 Are the appropriate barricades, shoring, and screens in place?

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  • 9.9 Is the appropriate signage in place?

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  • 9.10 Is spoil being kept a minimum of 1.5 m from edge of trench / excavation?

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  • 9.11 Are ladders founded on a firm footing and are they tied off at the top?

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  • 9.12 Are holes filled at end of shift or adequately covered / protected?

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10. EMERGENCY MANAGEMENT

  • 10.1 Telephone numbers and locations of nearby physicians / hospitals are available and known?

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  • 10.2 Evacuation point is established, in a safe location and known to workers?

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  • 10.3 Are there a sufficient number of trained first-aid staff on-site?

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  • 10.4 Are a sufficient number of first aid kits available and are they properly stocked?

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11. HOISTS, CRANES AND DERRICKS

  • 11.1 Cables and sheaves regularly inspected?

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  • 11.2 Slings, chains, hooks, and eyes are certified and regularly inspected?

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  • 11.3 All heavy lifts (all lifts above 75 per cent SWL) and all multiple crane lifts are risk assessed via a SHEWMS and a documented lift plan is available and completed by a competent person?

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  • 11.4. All outriggers are packed / supported as per manufacturers’ and/ or engineer’s recommendations and are protected from traffic / disturbance by<br>physical barriers?

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  • 11.5 Power lines de-activated, removed or at a safe distance?

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  • 11.6 Is there proper loading for capacity at lifting radius?

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  • 11.7 Load charts fitted and correctly used?

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  • 11.8 All equipment properly lubricated and maintained?

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  • 11.9 Signalmen used where required?

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  • 11.10 Signals understood and observed?

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  • 11.11 Inspection maintenance logs maintained?

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  • 11.12 Backup signals provided?

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12. STORAGE AND HANDLING OF MATERIALS

  • 12.1 Neat storage area, clear passage ways observed?

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  • 12.2 Materials neatly stacked?

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  • 12.3 Stacks on firm footings and not too high?

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  • 12.4 Appropriate materials protected from heat and moisture?

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  • 12.5 Dust protection observed?

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  • 12.6 Traffic routing and control in place?

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  • 12.7 Equipment handling equipment available?

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  • 12.8 Employees are lifting loads correctly?

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  • 12.9 Licensed drivers and dogmen are available to operate lifting equipment?

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13. FIRE PREVENTION

  • 13.1 Portable Fire Fighting Equipment in offices or site sheds?

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  • 13.2 Vehicles fitted with fire extinguishers?

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  • 13.3 Training in Fire Fighting procedures?

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14. MOTOR VEHICLES

  • 14.1 Regular inspections and maintenance carried out?

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  • 14.2 All personnel are appropriately licensed?

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  • 14.3 Brakes, lights and warning devices operative?

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  • 14.4 Weight limits and load sizes controlled?

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  • 14.5 Glass in good condition?

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  • 14.6. Parking of vehicles observed correctly?

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15. ASBESTOS MANAGEMENT

  • 15.1 There is respiratory protection equipment (RPE), gloves and coveralls available and being used for any suspected asbestos related works?

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  • 15.2 Rubber boots are being worn and not lace-up boots?

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  • 15.3 Scoring and breaking of pits and removal process is being wetted down at all times to suppress dust?

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  • 15.4 Heavy duty asbestos disposal bags are being used and all asbestos pieces/debris removed from site?

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  • 15.5 No compressed air or high pressure water is being used on suspected asbestos containing materials?

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  • 15.6 Workers conducting asbestos related works have completed approved asbestos awareness training?

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  • 15.7 Contractors are appropriately licensed if they are conducting any asbestos removal work?

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  • 15.8 Asbestos disposal bags are being stored in lockable and labelled bins and not stockpiled?

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  • 15.9 There is appropriate warning signage displayed around worksite and barriers up to prevent unauthorised entry to worksite when asbestos-related work is taking place?

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  • 15.10 When removing pits suspected of containing asbestos, 25mm of soil around the pit is also removed and bagged with the asbestos waste?

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  • 15.11 Asbestos removal checklist has been completed?

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16. TRAFFIC MANAGEMENT

  • 16.1 Traffic management signs, including speed restriction and advanced warning signage is legible and positioned in accordance with plans and Regulations?

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  • 16.2 Are traffic control measures maintained by an accredited traffic controller when necessary?

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  • 16.3 Are spotters / safety observers present to control traffic movement?

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  • 16.4 Traffic management company is accredited with the relevant authority?

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  • 16.5 Traffic management measures comply with plans and traffic management handbook?

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  • 16.6 Traffic management controls offer adequate protection to workers and the public?

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17. MANUAL HANDLING

  • 17.1 Manual handling risk has been identified, assessed and managed using an established risk assessment tool (SHEWMS, JSA, Take 5)?

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  • 17.2 Manhole key in use?

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  • 17.3 Mechanical aids are used where available?

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  • 17.4 Workers are not in awkward postures for long periods?

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  • 17.5 Workers are not lifting heavy items frequently?

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18. WORKING IN THE HEAT

  • 18.1 There are adequate amounts of water on site to drink?

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  • 18.2 WorkershavetheappropriatePPE including sun visor, sunscreen, loose fitting long sleeved shirt, long pants, and shaded safety glasses?

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  • 18.3 There is adequate shade available?

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  • 18.4 Work / rest ratios are adequate to allow workers to recuperate in extreme heat?

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19. WORKING IN THE COLD

  • 19.1 There is adequate clothing available for the conditions?

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  • 19.2 There is the availability of shelter with adequate heating?

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20. GAS DETECTION / CONFINED SPACE

  • 20.1 There is an available type 4 gas detector on site?

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  • 20.2 The gas detector is calibrated, charged and working properly?

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  • 20.3 The gas detector is on the up to date calibration register?

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  • 20.4 The gas detector is being used in manholes or confined spaces?

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  • 20.5 Workers are trained and competent in the use of the gas detector?

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  • 20.6 Workers are trained and competent to enter confined spaces?

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  • 20.7 A permit has been issued for any confined space entry?

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21. RADIO FREQUENCY (RF) RADIATION

  • 21.1 The radiation risk is identified, assessed and controlled via an established risk assessment tool (SHEWMS, JSA)?

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  • 21.2 Workers exposed to RF radiation are appropriately trained?

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  • 21.3 All workers working in the vicinity of RF radiation have a monitor on (RadHaz Badges, RF dose meters) or there is an RF Hazard Monitor in the designated RF area?

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  • 21.4 Workers on site have been authorised to work in the vicinity of RF radiation sources?

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  • 21.5 Danger tags have been used to isolate de-energised plant?

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  • 21.6 Power is switched off and securely isolated for any un-terminated<br>transmitters?

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  • 21.7 There is appropriate Client-supplied information and site specific<br>documentation on site to identify RF hazards exist?

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22. ISOLATED LOCATIONS

  • 22.1 There is adequate communication available on site (E.g. satellite phone)?

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  • 22.2 Remote first aid kit on site and adequately stocked?

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  • 22.3 EPIRB on site?

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  • 22.4 There is five litres of water per person available?

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  • 22.5 A call in / call out procedure is in place?

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SECTION 2: ENVIRONMENTAL

24. NOISE AND DUST

  • 24.1 Dust suppression techniques are effective at reducing dust generation to a minimum?

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  • 24.2 Working hour restrictions are in place and being adhered to in residential areas?

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  • 24.3 Noise levels are kept to acceptable levels?

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  • 24.4 Workers are using adequate hearing protection around noisy operations?

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25. WATER POLLUTION AND SEDIMENT CONTROL

  • 25.1 Vegetation clearance is kept to a minimum near waterways?

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  • 25.2 Directional boring near waterways, wetlands and tidal areas is in accordance with construction<br>drawings?

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  • 25.3 Soil materials from drilling operations are not being discharged into<br>waterways or stormwater drains?

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  • 25.4 There is no refuelling or maintenance of vehicles within 80m of the top bank of the watercourse?

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  • 25.5 Approval has been given by the relevant authorities to discharge to waterways?

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  • 25.6 There has been no significant disturbance of marine vegetation?

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  • 25.7 There is spill kit on site appropriate for the type and amount of chemicals being stored and used?

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26. FLORA AND FAUNA

  • 26.1 No disturbance of vegetation off the approved cable alignment observed?

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  • 26.2 Identified species or habitats of conservation significance have not been disturbed as stated on construction drawings?

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  • 26.3 No new access tracks have been created through remnant vegetation?

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  • 26.4 Vegetation clearance has been kept to a minimum and where unavoidable, the root system has been kept intact?

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  • 26.5 Isolated trees or clumps of trees have been avoided through slight deviations in cable alignment?

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  • 26.6 There has been no clearance of trees with hollows, trees with a trunk diameter of greater than 20cm, dead trees standing greater than 3m in height and trees with birds nests?

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27. CULTURAL & HERTIAGE

  • 27.1 Construction activities have remained at least 2m away from identified heritage buildings and culturally significant sites?

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  • 27.2 Heritage buildings and cultural significant sites are clearly demarcated and known to all on site?

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28. WASTE MANAGEMENT

  • 28.1 Bins are available for work site waste, recycled material, scrap, etc.?

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  • 28.2 Drop sheets are being used in jointing operations, to minimise site contamination?

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  • 28.3 All site areas are kept tidy with litter removed from site and disposed of appropriately?

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  • 28.4 Prescribed waste (asbestos, contaminated water/soil, sharps), oils and greases and associated containers are being disposed of appropriately?

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29. WEED MANAGEMENT

  • 29.1 All equipment & machinery cleaned before entering sites?

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  • 29.2 All vehicles enter, move & exit on defined tracks?

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  • 29.3 Signs posted on entry & exit to infested areas?

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  • 29.4 There is designated wash down points for vehicles and water is contained within this area?

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.