Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Initial Site Checks

  • Is this a live site? (operatives working currently?)

  • Name of operatives

  • Is the team working under LA permit? (record permit number and permit ref if yes)

  • Is point of work risk assessment held by the operatives? (record evidence of signing onto powra)

  • Have you escalated to operatives superviosr to provide the documents?

  • Do operatives hold valid qualifications? (NRSWA,NOPS, PIA accreditations, Excavator Qualifications)

  • Have you escalated to operatives superviosr to provide documents?

  • Do operatives have sufficient PPE? (Hi-Vis, Flame retardant (if operating excavating activities), Hard Hat, hearing protection, eye protection, dust protection)

  • Have you escalated to operatives supervisor if any PPE is not on site or fit for purpose?

  • Is SLG complaint?

  • if site cannot made compliant escalate to operatives supervisor.

Site Evidence

  • Please provide additional evidence from site visit

  • Any escalation required?

Sign Off

  • SIGN OFF

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