Title Page
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Site conducted
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Project Details
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Prepared by
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Location
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Date
General Site Information
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Describe the weather conditions onsite today
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Contractors on site (name and company)
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Have any delays been encountered today?
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Is CPB UGL JV the cause of the delay?
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Provide details of the delay
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Attach photo of the delay (If Applicable)
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Is the site in good condition?
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Provide details
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Photos
Construction
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Construction Activities
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General construction notes/comments
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General construction photos
Health & Safety
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Are all plant and personnel registered into Damstra?
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Provide further details as to who/what needs to be registered
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Are any critical risk controls in effect today?
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Please select all that apply
- Working at Height
- Operation of Mobile Plant
- Working in Confined Spaces
- Excavation and Trenching
- Cranes and Lifting Operations
- Energy Isolation
- Working with Electricity
- Managing Traffic
- Handling and Storage of Hazardous Chemicals
- Working with Asbestos (ACM)
- Working In and Around the Rail Corridor
- Movement of Rolling Stock
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What controls are in place for Working at Height?
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Provide a photo of the controls for Working at Height
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What controls are in place for Operation of Mobile Plant?
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Provide a photo of the controls for Operation of Mobile Plant
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What controls are in place for Working in Confined Spaces?
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Provide a photo of the controls for Working in Confined Spaces
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What controls are in place for Excavation and Trenching?
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Provide a photo of the controls for Excavation and Trenching
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What controls are in place for Cranes and Lifting Operations?
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Provide a photo of the controls for Cranes and Lifting Operations
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What controls are in place for Energy Isolation?
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Provide a photo of the controls for Energy Isolation
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What controls are in place for Working with Electricity?
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Provide a photo of the controls for Working with Electricity
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What controls are in place for Managing Traffic?
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Provide a photo of the controls for Managing Traffic
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What controls are in place for Handling and Storage of Hazardous Chemicals?
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Provide a photo of the controls Handling and Storage of Hazardous Chemicals
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What controls are in place for Working with Asbestos (ACM)?
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Provide a photo of the controls for Working with Asbestos (ACM)
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What controls are in place for Working In and Around the Rail Corridor?
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Provide a photo of the controls for Working In and Around the Rail Corridor
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What controls are in place for Movement of Rolling Stock?
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Provide a photo of the controls for Movement of Rolling Stock
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Are there any hazards to report?
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What is the hazard?
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Provide a photo of the hazard
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Are there any incidents to report?
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What is the incident?
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Provide a photo of the incident
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General health & safety notes/comments
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General health & safety photos
Environmental
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Are there any hazards to report?
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What is the hazard?
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Provide a photo of the hazard
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Are there any incidents to report?
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What is the incident?
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Provide a photo of the incident
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General environmental notes/comments
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General environmental photos
Quality
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Any Hold Points completed today?
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Ensure HOLD POINT notification form is completed
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Any Witness Points completed today?
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Ensure WITNESS POINT notification form is completed
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Are there any non-conformances to be registered?
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Provide details of the non-conformance
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Provide photos of the non-conformance
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General quality notes/comments
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General quality photos
