Information

  • Conducted on

  • Client / Site

  • Location
  • Prepared by

  • Category / Description / rev

Key indicators

  • Was the SP visible on approach

  • Reason SP not visible one approach

  • Was the SP compliant with PSS code of conduct

  • Disciplinary

  • Verbal warning details

  • Written warning details

Uniform and PPE

  • The SP must be wearing full uniform in accordance with PSS code of conduct. All non conformance are subject the the relevant disciplinary action.

  • High visibility jacket / vest

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • White shirt

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • Black trousers

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • Safety shoes

  • Issue verbal warning replace if in stock on vehicle and complete equipment counter charge form

  • Condition

  • Equipment order form completed

  • SIA license on display

  • SP advised written warning will be issued (impliment on return to HQ)

  • ID badge on display

  • SP advised written warning will be issued (impliment on return to HQ)

  • Relevant PPE being worn

  • Enter non compliance

CO2 monitoring

  • Are we providing CO2 service

  • Laptop being used in accordance with computer policy

  • Issue verbal warning

  • What is the last entry date

  • It is recommended that the data input is completed daily

  • SP understands and acknowledges this recommendations

  • Copy uploaded to Dropbox

Documentation

  • Project instructions on site

  • Draft number

  • Take photo of signed declaration

  • Has the SP signed declaration

  • Issue verbal warning

  • Logbook / Notebook onsite

  • Logbook / Notebook being used in concordance with PSS policy & procedures

  • Disciplinary

  • Verbal warning details

  • Written warning details

  • Risk assessment on site

  • Staff book hand book on site

Tool box talk / information delivered to SP

  • Did the Inspector provide a tool box talk or deliver addition information to SP

  • Subject / reference

  • SP confirms he / she has read and fully understood the information conveyed

Notes / Comments

  • SP notes/comments

  • SP notes/comments (add related media if required)

  • Inspector notes/comments

  • Inspector notes/comments (add related media if required)

  • SP photo (must be wearing all uniform/PPE, displaying SIA licence & ID badge

  • SP on duty

  • Inspector

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.