Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Initial Site Checks
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Is this a live site? (operatives working currently?)
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Name of operatives
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Is the team working under LA permit? (record permit number and permit ref if yes)
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Is point of work risk assessment held by the operatives? (record evidence of signing onto powra)
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Have you escalated to operatives superviosr to provide the documents?
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Do operatives hold valid qualifications? (NRSWA,NOPS, PIA accreditations, Excavator Qualifications)
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Have you escalated to operatives superviosr to provide documents?
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Do operatives have sufficient PPE? (Hi-Vis, Flame retardant (if operating excavating activities), Hard Hat, hearing protection, eye protection, dust protection)
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Have you escalated to operatives supervisor if any PPE is not on site or fit for purpose?
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Is SLG complaint?
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if site cannot made compliant escalate to operatives supervisor.
Site Evidence
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Please provide additional evidence from site visit
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Any escalation required?
Sign Off
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SIGN OFF