Information
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Client / Site
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Prepared by
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Conducted on
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Location
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Document No.
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Location/Area Inspected
1.0 Work Areas
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1.1 Digger face height are within safe working ranges
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1.2 Adequate turning area for plant, i.e. trucks, etc.
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1.4 Lighting is adequate for night shift
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1.5 All bunds are appropriate sizes
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1.6 All signage in place
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1.7 LV park up in safe location
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1.8 Above and below work area are controlled
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1.9 Open excavations are barricaded and have signs
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1.10 Geotechnical hazards are eliminated and controlled
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1.11 JHA and permits in place and being followed
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1.12 TMP in place (muster point signs erected)
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1.13 All works are within clearing boundaries
2.0 Roads
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2.1 Correct road width
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2.2 Stability (no soft spots or slumping)
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2.3 Drainage (no wet areas)
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2.4 Adequate signage (intersections, dump areas, delineation)
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2.5 windrows installed and at correct hieghts
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2.6 Good visibility at all intersections
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2.7 All ramps at appropriate grades
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2.8 Access roads (to and from work area)
3.0 Vehicle/Plant
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3.1 LV and HV interactions are minimised
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3.2 Traffic flow known to all site personnel
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3.3 Load and haul interactions are minimised
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3.4 Lighting plants have adequate bunding
4.0 HV Park Up
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4.1 Adequate signage
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4.2 Adequate operator access
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4.3 Access for service vehicles
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4.4 Vehicle parked correctly (chocked, 'V' drain)
5.0 Dumps
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5.1 Bunds and windrows are appropriate height
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5.2 Dump height appropriate
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5.4 Stability of area
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5.5 LV park up area in safe location
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5.6 Correct signage in place
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5.7 Adequate lighting for night shift
6.0 Environment
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6.1 Waste bins labelled and in correct place
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6.2 Stockpiles are placed away from water ways and protected areas
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6.3 Clearing has been undertaken in a progressive manner
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6.4 Excess dust has been controlled and not interfering with other works
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6.5 LV's and HV's have no black smoke emissions
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6.6 No visible evidence of erosion within stockpiles
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6.7 Areas to be cleared are clearly demarcated, i.e. flagging, survey pegs, etc.
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6.8 All permits are relevant and in date
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6.9 All leaks and spills have been cleaned up and reported
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6.10 Spill kits available
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Positive Feedback
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Supervisor Signature