Title Page

  • Customer

  • Conducted on

  • Prepared by

  • Location
  • What measures are being installed

General Site Conditions

  • Lead Engineer

  • Are Vehicles Parked safely

  • Is "Men at Work" sign visible

  • Is fire extinguisher present and in date

  • Are floor coverings correct

  • Are any materials stored safely

  • Are operatives wearing correct PPE

  • Is First Aid kit available and in date

  • Is house keeping to standards

Plant & Equipment

  • Is Work at Height equipment safe and in good condition

  • Is the Inspection tag visible and in date

  • Is all electrical equipment PAT tested

  • Are hand tools suitable for the task intended

Scaffolding

  • Is Scaff Tag visible and in date

  • Are ladders secured or locked off

  • Are kick boards fitted

  • Are hand rails fitted

  • Is edge protection correctly located

  • Are feet/plates in place

  • Is low level protection foam fitted

Notes

  • Is the site issue free

  • Additional Information

Signatures

  • Inspector

  • Lead Engineer

Actions

  • Any actions to report

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.