B.W. Site Inspection Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Council representative onsite?

  Yes

  No
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• Personnel

Site overview

• Inspection carried out the following time

• Select date

  Date

• Site overview

• Principal Contractor

• Number of workers on site

• Weather

  Fine

  Overcast

  Raining

• Site conditions

  Dry

  Dry / Dusty

  Wet

  Wet / Saturated

• Additional site conditions:

• All actions from previous inspection report completed

  Yes

  No

  N/A

Site documentation

• Site JSA

  Yes

  No

  N/A

• Method Statments

  Yes

  No

  N/A

• All operatives inducted by Principal Contractor

  Yes

  No

  N/A

Emergency Arrangements

• All accidents, incidents and near misses reported and investigated since last visit.

  Yes

  No

  N/A

O.H.S Checks

• Red card

  Yes

  No

  N/A

• Traffic

  Safe

  At Risk

  N/A

• Correct PPE Hats, Vests

  Yes

  No

  N/A

• Isolation of live sewer

  Yes

  No

  N/A

• Barricading

  Yes

  No

  N/A

• First aid

  Yes

  No

  N/A

• Power

  Yes

  No

  N/A

• Water

  Yes

  No

  N/A

• Toilets

  Yes

  No

  N/A

• General safety

  Safe

  At Risk

  N/A

Traffic control

• Is traffic control required

  Yes

  No
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• Workmen ahead signage

  Yes

  No

  N/A

• Detour ahead signage

  Yes

  No

  N/A

• Arrow boards

  Yes

  No

  N/A

• Road closed signage

  Yes

  No

  N/A

• Is traffic management plan in place

  Yes

  No

  N/A

• Are bollards being used in a reasonable manner

  Yes

  No

  N/A

• Is pedestrian access in place

  Yes

  No

  N/A

Excavations / Trenching

• Are there any excavation works

  Yes

  No
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• Is trenching/excavation > 1.5m deep

  Yes

  No

  N/A

• Edge protection & ladder access in place

  Yes

  No

  N/A

• Are shields being used

  Yes

  No

  N/A

• Is benching being used

  Yes

  No

  N/A

• Are road plates required and available

  Yes

  No

  N/A

• Are road plates in use

  Yes

  No

  N/A

• Is there a "Mine Mangers" certificate holder on site

  Yes

  No

  N/A

• Is spoil away from edge of trench

  Yes

  No

  N/A

• Is there access into and out of the trench

  Yes

  No

  N/A

• Are the trenches backfilled if no more work is required

  Yes

  No

  N/A

• Is barricading suitable

  Yes

  No

  N/A

• Has allowance for underground services and protection been made

  Yes

  No

  N/A

Confined Spaces

• Is confined space entry required

  Yes

  No
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• Has permit to work been obtained

  Yes

  No

  N/A

• Is entry to a confined space required

  Yes

  No

  N/A

• Is signage in place

  Yes

  No

  N/A

• Do personnel have confined space entry ticket

  Yes

  No

  N/A

• Is breathing apparatus in use

  Yes

  No

  N/A

• Pits > 1.5 required for assessment

  Yes

  No

  N/A

• Is the SWIFT Form Q current for Sewer applications

  Yes

  No

  N/A

Materials

• Delivery / Handling / Storage

  Satisfactory

  Un-satisfactory

Temporary bench marks

• Marked and maintained

  Yes

  No

Machinery

• Is machinery in use

  Yes

  No
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• Does plant have flashing lights that are working and being used

  Yes

  No

  N/A

• Does plant have reversing beepers

  Yes

  No

  N/A

• Does plant have roll over cages / protection where required

  Yes

  No

  N/A

• Has provision for O/H services been allowed for

  Yes

  No

  N/A

Environment

• Runoff controlled (silt fence, hay bales ect)

  Yes

  No

  N/A

• Dust controlled

  Yes

  No

  N/A

• Noise acceptable

  Yes

  No

  N/A

• Tree protection zones in place

  Yes

  No

  N/A

Summary

• Safety Advisors Comments

• Photo Records:

  Media

• Safety Advisor

  Sign

• Site Representative

  Sign

• I confirm that all actions highlighted within this report have been completed