Title Page

  • Client

  • Location
  • Report Number

  • Conducted on

  • Previous actions closed

  • Inspected by

  • Personnel on site

  • Scope of current work activities

  • Areas inspected

Accidents incidents

  • Have there been any recent incidents or accidents on site?

Site setup

  • Site signage/ Posted Documentation

  • Fencing and site access? Area secured out of hours?

  • Public interface?

  • Housekeeping on site? Laydown area?

  • Segregation and pedestrian access?

  • Suitable welfare on site?

  • Site Storage Arrangements

  • Environment/ Waste

Site risks

  • Asbestos

  • Services

  • COSHH/ Hazardous Substances

  • Ground conditions/ weather

  • Plant / Vehicles

  • Lifting Activities

  • Control of Contractors

  • Temporary works

  • Fire Emergency

  • First aid

Safe working

  • Suitable inductions

  • SSOW/ RAMS/ Competence

  • Daily Briefings

  • Regular TBTs/ required training?

  • Permits

  • Appropriate PPE

Work Activities

  • Working at Height

  • Falling debris or lack of segregation

  • Manual Handling

  • Work Equipment(PUWER)

  • Confined Spaces

  • Excavations

  • Electricity

  • Occupational Health

  • Miscellaneous

Completion

  • Remarks and recommendations

  • Full name and signature

  • Client Representative signature

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.