Title Page

  • Client / Site

  • Location

  • Conducted on

  • Prepared by

  • Personnel on site (please state company )

Access to site

  • Are warning signs in place at the point of entry? (ie. Authorised Personnel Only, Danger High Voltage, Bioverta Power Systems )

  • Are site gates, protective fencing in order?

  • Are walkways and grills clear and fit for purpose?

  • Are the workshop doors and locks in proper working conditions?

  • Are safety signs in place at each door? (ie Authorised Personnel Only, Units may start automatically)

Site set up and documentation

  • Are First Aid Kits supplied and fully stocked? Please note omissions and out of date items.

  • Are Local Emergency Numbers clearly posted inside the units? Consider Medical, Fire, Spill Response Planning, Equipment, Posting of telephone numbers, SDS sheets check, etc. )

  • Is fire equipment blocked from access?

  • Is the fire detection systems test in date?

  • Has a fire drill taken place in the last 6 months?

  • Are sanitation facilities in good order?

  • Are all contractors documentation available and up to date?

  • Is all documentation in place? ( accident log book, tech dwrg)


  • Are all areas cleared of congestion?

  • Are there any slip, trips and falls hazards?

  • Is the workshops and yard free of oil spills?

  • Are all liquids ( oil, coolant ) stored in a safe manner?

  • Are spill kits available / stocked?

  • Are gas cylinders stored property?

  • Is the yard clean and tidy?

  • Are bins stored in a safe manner?

  • Are tools and equipment stored in a safe manner ?

  • Are laders stored property?

  • Are there any electrical equipment damaged / wiring?

  • Is a good Pedestrian / Vehicle segregation observed?

People / Work Practices

  • Is correct PPE available and in use? ( Boots, ear protection, etc. )

  • Is correct manual handling observed?

  • Are personnel and / or contractors trained?

  • Is a good traffic management in place?

  • Are personnel trained to drive a forklift /other machines if in use?

  • Are the lifting equipment colour coded and in proper working conditions?

  • Are site vehicles (forklifts, etc.) in good order and certified where applicable?

  • Mobile plant / trucks parked and keys taken out?

  • Any other general Health and Safety concernes?

Extra information

  • Any additional information

  • Any extra photos / media?

  • 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.