Brock Site Visit Report

• Document No.

• Owner

• Client

• Site

• Brock Site Lead

• Conducted on

  Date

• Prepared by

• Location
  Address

Site Review

Safety Compliance

• Is the OH&S / Worksafe handbook (legislation) readily available?

  Yes

  No

  N/A

• Is the Project Safety Plan readily available?

  Yes

  No

  N/A

• Have all the workers signed off on the Project Safety Plan?

  Yes

  No

  N/A

• Is the JSA adequately posted?

  Yes

  No

  N/A

• Has the full crew signed off on the JSA?

  Yes

  No

  N/A

• Is the Training Safety Matrix up to date with everyone in Compliance?

  Yes

  No

  N/A

• Are records being kept at site (inspections, orientations, First Aid, etc.)?

  Yes

  No

  N/A

• Are regular Safety meetings being held and posted?

  Yes

  No

  N/A

• Are formal inspections being completed and posted?

  Yes

  No

  N/A

• Is the ERP posted in all lunch rooms?

  Yes

  No

  N/A

Brock Compliance

• Are the Company Policies posted?

  Yes

  No

  N/A

• Are the BSafe Commitments posted

  Yes

  No

  N/A

• Is the Short Service Worker Program being utilized?

  Yes

  No

  N/A

• Is the Near Miss / Continuous Program being utilized?

  Yes

  No

  N/A

• Are vehicle inspections being regularly completed and concerns addressed?

  Yes

  No

  N/A

• Are daily LEMs being completed properly and on time?

  Yes

  No

  N/A

• Are Scaffold Checklists being completed and adequately filed?

  Yes

  No

  N/A

• Are Scaffold Count Sheets being completed and signed off by the client?

  Yes

  No

  N/A

• Is the Quality Management Plan readily available?

  Yes

  No

  N/A

• Is the Scaffold Log readily available and up to date?

  Yes

  No

  N/A

Site Walk

• Are workers engaged in the Safety program?

  Safe

  At Risk

  N/A

• Is it evident that in field coaching and mentoring is being completed by the foremen?

  Yes

  No

  N/A

• Is there a feeling of pride and ownership in the craft?

  Yes

  No

  N/A

• Is a consistent quality product being delivered?

  Yes

  No

  N/A

• Do workers understand the PAUSE program?

  Yes

  No

  N/A

Customer Review

• Who did you speak with?

• What were the Continuous Improvement items?

• What were the main talking points?

• What were the positives that were mentioned?

• When is the expected follow up?

  Date

Overview

• Positive Comments

• Areas For Improvement

• Additional Information

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• Completed by:

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• Contributor:

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