Cambrilea Compliance Site Inspection Checklist

• Client / Site

• Conducted on

  Date

• Inspection/Audit conducted by

• Location
  Address

• Personnel on site

Site Details

Work Areas

• JSA/Spray Plan completed prior to work commencing?

  Yes

  No

  N/A

• Hazards been identified and control actions identified?

  Yes

  No

  N/A

• Fire extinguishers on site and compliant?

  Yes

  No

  N/A

• Incident/Injury/Illness procedures implemented & forms onsite?

  Yes

  No

  N/A

• First aid kit onsite and fit for purpose?

  Yes

  No

  N/A

• Trained first aid personnel onsite?

  Yes

  No

  N/A

• Emergency communication available?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Hard Hats (if applicable, worn by crew and in safe condition)

  Yes

  No

  N/A

• Hi Vis Garment (available, worn by crew and in good condition)

  Yes

  No

  N/A

• Eye protection (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Sun protection (available, worn by crew and not using expired product)

  Yes

  No

  N/A

• Respiratory Protection (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Hearing Protection (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Appropriate Clothing (in safe condition)

  Yes

  No

  N/A

• Gloves (available, worn by crew and in safe condition)

  Yes

  No

  N/A

• Appropriate footwear (fit for task, worn by crew and in safe condition)

  Yes

  No

  N/A

Signs

• Site Signage is appropriate and in place

  Yes

  No

  N/A

• Site Signage is in good condition and complaint

  Yes

  No

  N/A

Tools and Equipment

• Vehicle(s)/Plant on site:

• Vehicle(s)/Plant certified i.e., WOF, COF, Reg, RUC?

  Yes

  No

  N/A

• Plant is in good condition, safe for use

  Good

  Fair

  Poor

  N/A

• Drivers/Operators(s) trained and licensed to operate vehicles and plant?

  Yes

  No

  N/A

• Crew members are trained to be competent in the tools and appropriate for their work tasks?

  Yes

  No

  N/A

• Standard Operating Procedures are in place for plant?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign