Title Page

  • Conducted on

  • Prepared by

  • Location
  • Type of Work:

  • Are General SWMS completed and signed off

  • Have work environment hazards have been signed I.e. wet floor, working overhead etc

  • Staff have been provided with any PPE as required by the SWMS, and are wearing such PPE in the correct manner

  • Access ways and emergency exits near the work area are clear and free from obstruction

  • Are EWP SWMS completed and signed off, including the pre-inspection of the EWP

  • Work environment hazards have been signed I.e. wet floor, working overhead etc

  • Vehicular traffic management controls have been put into place, including barricading, signage and provision of alternate routes as required. Traffic management is in accordance with plan

  • Pedestrian traffic management controls have been put into place, including barricading, signage and provision of alternate routes as required. 1.2m access for pedestrians provided

  • Logbooks have been filled out as required (attach image if possible)

  • Are EWP SWMS completed and signed off, including the pre-inspection of the BMU?

  • Have all BMU inductions been conducted and recorded in site folder for all staff on site?

  • Vehicular traffic management controls have been put into place, including barricading, signage and provision of alternate routes as required. Traffic management is in accordance with plan

  • Pedestrian traffic management controls have been put into place, including barricading, signage and provision of alternate routes as required. 1.2m access for pedestrians provided

  • Are all BMU kits being used as intended and contain all the appropriate equipment?

  • Tools and equipment are tethered off to prevent dropping

  • Required PPE (i.e. harnesses and lanyards) is available and used correctly

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.