Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • This Inspection is an assessment of the conditions and activities on the project worksite at the time of the visit. The conditions & activities are assessed against agreed expectations between PCBU’s, legislative and regulatory requirements and/or industry best practice.

    Assessment Criteria:

    Meets Expectations (ME) = The assessed condition or activity meets current expectations.
    ...
    Opportunity For Improvement (OFI) = The assessed condition or activity does not fully meet current expectations.
    ...
    At Risk (AR) = The assessed condition or activity does not fully meet current expectations and as a result there is an intolerable level of risk of harm to people, the environment and/or the business.
    ...
    Not Checked (NC) = The condition or activity was not checked.
    ...
    Not Applicable (NA) = The condition or activity was not present.

1. Pre-Inspection Planning

  • What is the Focus for the period:

Select the Classic Group process reviewed as part of the inspection pre-planning:

  • CASE Coach Observations.

  • CASE Coach Inspections.

  • CM/SM's Observations.

  • CM/SM's Inspections

  • CM/SM's Toolbox Meetings.

  • CM/SM's assigned corrective actions.

  • CASE processes - web console

  • Pre-planning Notes:

2. Inspection Criteria

  • Select the criteria that is applicable to your site inspection:

Working at Heights

Working At Heights - General

  • Is there a Task Risk Assessment in place for working at heights activities (proof of regular review and communicated to all workers involved)?

  • Activity Pre-Start completed?

  • Workers use safe means of access e.g. ladder, EWP, scaffold etc.

  • Is there risk of falling to a lower level?

  • Ladders of commercial grade and used correctly?

  • Exclusion zones implemented for overhead work activities?

  • Safety harness worn and used correctly where required? i.e appropriate lanyard lengths, hook on points.

Working at Heights - Other

  • Select the 'other' working at heights criteria that applies to your focus for the period:

Scaffolding

  • Scaffold inspected by a competent person (competency of scaffold inspector verified)?

  • Has a handover certificate been issued for the scaffold?

  • Is the scaffold tagged and has it been inspected within the last 7 days?

  • Are scaffold jacks sitting squarely on the sole boards?

  • Is the access point gated and is it self-closing?

  • Are there any scaffold components missing e.g. braces, hand rails, mid rails, toe boards etc.

  • Housekeeping maintained on scaffold platforms / landings (safe access and egress)?

  • Are scaffold planks secured / tied down?

  • Scaffold planks in good condition (pitting, excessive rust, splitting / saw cuts in timber planks etc.)?

  • Do gaps between the scaffold platform and work face exceed 300 mm and create a risk of inward falls?

  • Gaps between the planks/ bays do not exceed 50 mm?

  • Temporary work platforms (mobile scaffold) built to Good Practice Guidelines?

  • Temporary work platforms (more than 1 bay and higher than 2 m) tagged inspected within the last 7 days?

Safety Nets

  • Safety nets installed where required and to standard?

  • Safety nets certificate available for inspection?

  • Safety nets in a good condition (visible signs of damage to the safety net system)?

  • Have the nets been installed as close as is reasonably practicable to the underside of<br>the task area?

  • Are all gaps between net and structure less than 100 mm?

  • Is the net clear of debris?

Mobile Elevating Work Platforms

  • MEWP operator certified to operate equipment?

  • MEWP inspected prior to use?

  • MEWP used in accordance with manufacturers guidelines?

  • MEWP maintenance intervals maintained (6-monthly)?

1.2 Lifting Operations/Cranage

  • Is there a Task Risk Assessment in place for Lifting Operations/ Cranage activities (proof of regular review and communicated to all workers involved)?

  • Activity Pre-Start completed?

  • Crane certs in place and dates valid?

  • Crane operator licensed / certified to operate crane (HiAb US 16617 and Cranes US 3730)?

  • Rigger / Dogman certified and competent to conduct crane lifts (US 30072)?

  • Is there a lift plan in place & has it been communicated all workers involved?

  • Rigging and lifting gear in good condition with current tags / certificates?

  • Exclusion zones established?

  • Crane established on firm solid ground, outriggers fully extended and outrigger pads in place?

  • Tag lines used to control the load (where required e.g. wind conditions)?

  • No overhead lifting?

  • Is there evidence of overriding the crane safety system (e.g. disabling the anti-two block or crane safety system)?

Heavy Machinery

  • Is there a Task Risk Assessment in place for Heavy Machinery (proof of regular review and communicated to all workers involved)?

  • Activity Pre-Start completed?

  • Exclusion zones implemented and maintained, where appropriate?

  • Equipment servicing up to date?

  • Equipment operators licensed to operate machinery?

  • Equipment inspected prior to use, faults identified & reported?

  • Spotters used during heavy machine operation?

  • Before U Dig plans obtained and check for live services conducted?

1.4 Working Around Live Services

  • Is there a Task Risk Assessment in place for Working around Live Services (proof of regular review and communicated to all workers involved)?

  • Activity Pre-Start completed?

  • Supporting evidence of service locations provided and available (before-U-dig, as-builds, site mark up plans, GPR location etc.)?

  • Before U Dig plans no older than 28 days from request date?

  • Minimum Approach Distance (M.A.D) Permit obtained and adhered to (where required)?

  • Services de-energised/ isolated where required?

  • Services marked and physically located/ verified (hand dug trial holes)?

  • Controls in place to prevent contact / damage i.e. spotter, stand-over, mud bucket etc.?

CASE

  • QR code in place?

  • Signed in using CASE App?

  • Induction completed?

  • Current hazard list relevant?

  • Activity Pre-Start completed?

Lead Contractor Admin Controls

  • Sign in / out register in place and maintained?

  • Workers inducted (including subcontractors)?

  • Lead Contractor's Worksite Management Plan in place?

  • Daily Pre-Start Notice completed for today (CBC)?<br>

  • Site reviews / inspections conducted weekly by appropriate persons?

  • Toolbox meetings held weekly, documented topics and proof of attendance?

  • All corrective actions closed out by the recommended due date?

  • Traffic management plan in place, current and approved by Road Corridor Authority?

  • Hazardous Substances register in place?

  • SDS's in place for all hazardous substances on site?

Subcontractor Admin Controls

    Subcontractor Review
  • Subcontractor reviewed:

  • Subcontractor SSSP's in place?

  • Subcontractor SSSP evaluated and verified by lead contractor?

  • Worksafe hazardous work notifications submitted (where required)?

  • TA/TRA's in place where required and signed off accordingly?

  • Training and competency register in place?

  • Plant & Equipment register in place for safety critical plant and equipment?

  • Hazardous Substances register in place?

  • SDS's in place for all hazardous substances on site?

Emergency Preparedness and Response

  • Emergency response plan in place?

  • Is the Emergency Plan displayed?

  • Emergency evacuation layout plan displayed and assembly point identified?

  • Emergency contact details displayed?

  • Is a trained First Aider on site?

  • Are adequate First Aid kits available (including eyewash)?

  • Are adequate Fire Extinguishers available?

  • Spill kit available?

Supervision

  • Are subcontractor workers adequately supervised?

  • Are PCBU 3 subcontractors adequately supervised?

Safety Signage

  • Is warning signage in place at all access points?

  • Is a Site Safety Board displayed near the site entry?

  • Is a QR Code displayed?

  • Are current Hazards and Controls listed on the Site Safety Board?

  • Is the Emergency Assemby point signposted?

  • Are worksite 'Key Contact' details displayed at the site entrance?

  • Are minimum PPE requirements displayed?

PPE/PPC

  • Are minimum PPE requirements complied with?

  • Is the correct PPE being worn relevant to the exposure risks?

  • Is the PPE in good condition?

Housekeeping

  • Is the work area clean and free of excess trash or debris?

  • Are materials and equipment properly stored or stacked?

  • Are scrap materials free of protruding nails or other puncture hazards?

  • Are waste bins available and maintained?

  • Are waratah end caps installed and maintained?

Hazardous Substances

  • Are Hazardous Substances being used and stored correctly?

  • Are the amounts of Hazardous Substances on site limited to an "in use" amount?

Asbestos

  • Has ACM been considered as being present on the worksite?

  • Is an ACM plan in place?

  • Is the ACM plan being followed?

  • Have Worksafe been notified of ACM? (>10sqm friable)

  • Are workers handling ACM competent?

Silica and Inhalable Dust

  • Are bricks and concrete saws operating with water suppression?

  • Is the saw waste water contained to minimise runoff?

  • Is the dust from dried waste water being eliminated?

  • Are power cutting tools fitted with an 'At Source Extraction' system?

  • Is the vacuum system 'M' class rated for silica dust?

  • Is the extraction system in good working condition?

  • Are fibre cement sheets cut using the correct tools/ methods i.e. shears or score & snap method?

  • Are workers exposed to dust wearing P2 rated dust masks?

  • Is the site free from excess settled dust?

  • Is a vacuum system used to clean surfaces?

PAT's

  • Are PATs used by competent operators?

  • Are exclusion zones in place?

  • Are warning signs in place?

  • Are misfired charges secured and discarded correctly?

  • Are the PATs secured when not in use?

Electrical Power Tools, RCD's & Leads

  • Is Electrical Equipment in good working order (all guards in place, no damage to casing, no cuts in cable etc.)?

  • Does Electrical Equipment have a current Test & Tag?

  • Are temporary power sources fitted with an RCD i.e. Lifeguards?

Environmental

  • Are silt fences in place?

  • Is the silt fence in good working order?

  • Are silt socks/gutter bags in place at stormwater inlets?

  • Are the silt socks/gutter bags in good working order?

  • Are accessways metalled?

  • Is sediment and run-off fully contained with the site boundary?

  • Are vehicles/ plant tracking mud into the road reserve?

Site Fencing & Security

  • Is the worksite fully fenced?

  • Is the fence in good working order?

  • Is site access controlled?

  • Are site gates lockable?

Hotwork

  • Are Hot Works being correctly managed?

  • Are Hot Work activities meeting the Hot Works Permit requirements?

Confined Space

  • Is there a Task Risk Assessment in place for working at heights activities (proof of regular review and communicated to all workers involved)?

  • Does the Emergency Response Plan cover Confined Space rescue?

  • Are Confined Space activities correctly managed and meeting Confined Space requirements (i.e. permits, competency requirements etc.)?

Worker Facilities

  • Appropriate number of toilets onsite (male/ female), clean and hygienic?

  • Clean, potable water readily available onsite?

  • Smoko shed available for use?

Excavations/Trenches

  • Is there a Task Risk Assessment in place for Excavations/ Trenches (proof of regular review and communicated to all workers involved)?

  • Activity Pre-Start completed?

  • Edge protection around open excavations or where there is a risk of fall onto a lower level?

  • Excavations shored and braced/ benched/ battered where required?

  • Safe access and egress provided into the excavation?

Classic Group Processes

  • Is the monthly focus verified in the Observations/Inspections/Toolbox's where applicable?

  • Have other finding of a critical/high risk nature been recorded in the various H&S processes?

  • Has supporting photo's/ screenshots been included as part of the findings?

  • Has corrective actions been generated for OFI's/At Risk/ or Reckless findings?

  • Is there evidence that the actions have been closed out?

  • Are there any repeat findings?

3. Other Observations

  • Just Culture - CG Criteria rev 2.PNG
  • What was your Observation?
    Click on the "+ button" over here ---->--->

  • Observation
  • What was your Worksite Observation?<br>(Select one of the following)

4. Inspection Summary

  • Inspection Summary:

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.