• I require a right of entry
    This notice of entry by a Work Health and Safety Entry Permit Holder to a workplace is provided under section 119 of the Work Health and Safety Act 2011.

Part A – to be completed for all entries

  • Full name of entry permit holder:

  • Name of union represented:

  • Name and address of workplace being entered:

  • Date of entry or proposed entry: * If entry is under section 120 or 121 of the Act, notice of entry must be given to the person conducting the business or undertaking at least 24 hours but not more than 14 days before entry.

Purpose of entry:

  • Section 117 to inquire into a suspected contravention of the Act (complete parts A, B and D)

  • Section 120 to inspect employee records or information held by another person in relation to a suspected contravention of the Act (complete parts A, B, C and D)

  • Section 121 to consult and advise relevant workers on health and safety matters (complete parts A and D)

Part B – only complete for entry under sections 117 (suspected contravention) and 120 (inspect employee records or information)

  • Provide details of the suspected contravention to which this notice relates (e.g. What are the concerns? How do they contravene the Act? What area of the workplace is affected?)

Part C – only complete for entry under section 120 (inspect employee records or information)

  • List the employee records and other documents directly relevant to the suspected contravention that are proposed to be inspected or copied

Part D – to be completed for all entries

  • I declare that:
    • the above named union is entitled to represent the industrial interests of worker/s at this workplace.

  • • the provision in the union’s rules that entitles the union to represent the industrial interests of the worker/s is: Rule 2

  • • if entry is under section 117 or section 120 of the Work Health and Safety Act 2011, the suspected contravention relates to worker/s the
    union is entitled to represent.

  • • if entry is under section 120 of the Work Health and Safety Act 2011, the employee records and other documents proposed to be
    inspected relate to worker/s the union is entitled to represent.

  • Signed - Permit Holder

  • Work Health and Safety Entry Permit Holder (Full Name):

  • Date

Incident Report

Incident Report

  • Date/Time of incident -

  • Principal contractor -

  • Sub-Contractor -

  • Health and Safety Representative -

  • Primary Cause (select one)

  • Incident Type (select one)

  • Secondary Cause (select one)

  • Description of incident

  • Provide photos/supporting evidence

  • Medical treatment required, if any –

  • Has the regulator been notified? (s35)

  • Did an inspector attend site

  • Were any notices issued?

  • Upload photo of notice

  • Weather conditions (select one) –

  • Was the task classed as high risk construction work?

  • Was there a safe wok method statement prepared for the work?

  • Was the safe work method statement being followed?

  • Outcomes/Corrective Actions -

Medical Treatments

  • Has a worker been injured on this job?

  • Site address
  • Member's name

  • Date of birth (dd/mm/yyyy)

  • Time of the injury

  • Date of injury

  • Activity which caused the injury

  • Nature of the injury

  • Where in the workplace did the injury occur

  • Please provide photo of location for supporting evidence

  • Location of the injury on the body

  • If appropriate, please supply supporting image or proof of injury

  • Where was the worker treated for the injury

  • If treated by a Doctor please provide picture of medical certificate

Management Responsibilities

Management Responsibilities

  • Has a WHS Management Plan been developed for the workplace?

  • Does the plan include;

  • Names, positions and responsibilities of all persons with WHS duties at the workplace? (WHS Regs 309-2.a)

  • Arrangements for consultation, co-operation and co-ordination at the workplace? (WHS Regs 309-2.b)

  • Arrangements for managing any work health and safety incidents that occur? (WHS Regs 309-2.c)

  • Site-specific safety rules, and arrangements for ensuring all persons are informed? (WHS Regs 309-2.d)

  • Arrangements for collecting, assessing and reviewing SWMS? (WHS Regs 309-2.e)


  • Is an Emergency Plan prepared and implemented at the workplace? (WHS Regs 43)

  • Have the workers been consulted on the construction of the Emergency Evacuation Plan. Act 46-49

  • Does the plan include;

  • An effective response to an emergency? (WHS Regs 43-1.a.i)

  • Evacuation procedures? (WHS Regs 43-1.a.ii)

  • Processes for notifying emergency services? (WHS Regs 43-1.a.iii)

  • Provisions for medical treatment and assistance? (WHS Regs 43-1.a.iv)

  • Effective communication between the PCBU and all persons at the workplace? (WHS Regs 43-1.a.v)

  • Frequency for testing of emergency procedures? (WHS Regs 43-b)

  • A map identifying first aid, fire fighting equipment, routes/exits and a muster point?

  • Is the map posted in prominent places?

  • Is all fire fighting equipment operational and free from obstructions?

  • Does the Emergency Plan reflect multiple mustering points should access to the primary mustering point be unavailable due to an unforseen event. (fire, gas leak, structure collapse) WHS Regs 43 (B), Safe evacuation in an emergency Regulations 40 D(3)

  • Does the Emergency Plan identify secondary emergency wardens to initiate the evacuation emergency plan should the primary wardens be away or effected? WHS Regs 43-1. (a) (5)

  • Have workers been trained and instructed in relation to the implementing the emergency procedure. WHS Regs 43 (C)

  • Is anyone assigned to check areas to determine all people have been evacuated AS 3745 (planning for emergencies in facilities).

  • Is there a process of accountability at multiple mustering points to evaluate the quality of the roll call? WHS Regs 43

  • Is there a Fire Safety plan Regulations 43 and the Australian standards 3745, 2010

  • Is there a Fire Warden Structure on site as per the Australian Standards 3745, 2010

  • Has the fire safety plan been audited Australian standards 4655, 2005 (Fire Safety Audits)

  • WorkCover Checklist -

Site Requirements

  • Is signage displayed and clearly visible from outside the workplace? (WHS Regs 308)

  • Does it display;

  • The principal contractor's name and telephone contact number, Including after hours? (WHS Regs 308-a)

  • The location of the site office? (WHS Regs 308-b)

  • PPE requirements for the site?

  • The presence of hazardous chemicals?

  • Is the site secure to prevent unauthorised access? (WHS Regs 298-1)

  • Are hazards isolated in the event of unauthorised entry occurring? (WHS Regs 298-2.c)

  • Have necessary permits been obtained? (Council, EPA, WorkCover, RTA etc)

  • Are permits kept on site and available to view?

  • Do all workers on site hold general construction induction cards? (WHS Regs 316)

  • Have workers been site inducted? (WHS Regs 39)

  • Are induction records kept on site available for viewing?

  • Are all visitors inducted into site-specific risks?

  • Are safe work method statements prepared for high risk construction work? (WHS Regs 299)

    (291) Meaning of “high risk construction work”

    In this Chapter, high risk construction work means construction work that:
    (a) involves a risk of a person falling more than 2 metres, or
    (b) is carried out on a telecommunication tower, or
    (c) involves demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure, or
    (d) involves, or is likely to involve, the disturbance of asbestos, or
    (e) involves structural alterations or repairs that require temporary support to prevent collapse, or
    (f) is carried out in or near a confined space, or
    (g) is carried out in or near:
    (i) a shaft or trench with an excavated depth greater than 1.5 metres, or
    (ii) a tunnel, or
    (h) involves the use of explosives, or
    (i) is carried out on or near pressurised gas distribution mains or piping, or
    (j) is carried out on or near chemical, fuel or refrigerant lines, or
    (k) is carried out on or near energised electrical installations or services, or
    (l) is carried out in an area that may have a contaminated or flammable atmosphere, or
    (m) involves tilt-up or precast concrete, or
    (n) is carried out on, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians, or
    (o) is carried out in an area at a workplace in which there is any movement of powered mobile plant, or
    (p) is carried out in an area in which there are artificial extremes of temperature, or
    (q) is carried out in or near water or other liquid that involves a risk of drowning, or
    (r) involves diving work.

  • Are SWMS readily accessible and set out in a way that is easy to understand? (WHS Regs 299-3,b)

  • Are arrangements in place to ensure SWMS are complied with? (WHS Regs 300-1)

  • Is high risk construction work performed in accordance with SWMS? (WHS Regs 300-2)

  • Has work been stopped immediately and resumed only in accordance with the SWMS? (WHS Regs 300-2)



  • Are there methods for consultation in place? (WHS Regs 309-2,b)

  • Are workers being consulted about ALL matters affecting their health & safety? (WHS Act 47)

  • Is there an up to date list of HSR's displayed? (WHS Act 74)

  • Have HSR's requested and completed training within 3 months of making request? (WHS Act 72)

  • Is there a site safety committee? (WHS Act 75)

  • Is at least half of the committee made up of workers not nominated by the PCBU? (WHS Act 76)

  • Are names displayed in a prominent place? (WHS Act 74)

  • Are minutes from safety committee meetings posted at the workplace?

  • Are HSR's and/or safety committee being notified and included in incident investigations? (WHS Act 49)

  • Are health & safety concerns being addressed and closed out?

  • Are regular safety walks being conducted? (WHS Act 68)

Traffic Management

Traffic Management

  • Is there a site Traffic Management Plan in place? (AS 1742.3-2.2.2)

  • Does the plan include;

  • Details of the works to be undertaken, impacts on the surrounding traffic and how those impacts will be addressed? (WHS Regs 315-c)

  • Separation for pedestrians and moving vehicles? (WHS Regs 215-4)

  • A Traffic Control Plan, where public and pedestrian traffic is affected? (WHS Regs 315-c)

  • Has the TCP been prepared by a suitably trained person?

  • Does it contain a diagram showing signs, devices, speed zones and pedestrian routes?

  • Are signs and devices set out as per the TCP?

  • Are traffic controllers required where changes to conditions affect traffic and pedestrians? (WHS Regs 315-c)

  • Are "PREPARE TO STOP" and "TRAFFIC CONTROLLER AHEAD" signs in place? (AS 1742.3-3.5.2)

  • Do traffic controllers have certification from an RMS approved training course? (AS 1742.3-4.10.6)

  • Are there an adequate number of traffic controllers to control one lane and one direction of traffic each? (AS 1742.3-4.10.1)

  • Do traffic controllers have a clear escape route for emergencies?

  • Do traffic controllers have visual, audible communication with each other? (AS 1742.3-4.10.2)

  • Are speed limits no more than 60km/h for a minimum of 150m? (AS 1742.3-4.10.4)

  • Are traffic controllers wearing high visibility clothing? (AS 1742.3-4.10.2)

  • Do traffic controllers have adequate breaks of 15 minutes every 2 hours, to manage fatigue? (AS 1742.3-4.10.5)

  • A Vehicle Movement Plan for movement within the site?

  • Does the VMP contain a diagram showing signs, devices, travel paths, entries and exits as well as loading and unloading bays?

  • Requirements for vehicles on site, including maintenance, warning devices, guards and communication? (WHS Regs 206-3)

  • Review procedures for changing site conditions?

  • Is the plan being implemented and followed?

  • Are adequate safety barriers installed? (AS 1742.3-2.4.5)

  • Are barriers installed as per manufacturers specifications and Australian Standards? (AS 3845-2.4)

  • Are barriers inspected regularly to check for tampering, vandalism and damage? (AS 3845-2.5)

  • Do non-rigid systems have protection to stop people or vehicles entering the deflection zone? (AS 3845-4.2)

  • Are water-filled barriers fully filled as per manufacturers specifications?

Work Environment

Site Security

  • Is the site fully fenced to restrict unauthorised access? (WHS Regs 298, AS 4687)

  • Is the fencing stable both under normal and adverse conditions? (AS 4687-1.3)

  • Is temporary fencing installed within the boundaries of the worksite?

  • Is fencing installed no more than three degrees out of plumb?

  • Has the fencing been tested to withstand various loads?

  • Are all components in good condition and maintained to prevent injury to public? (AS 4687-1.4)

  • Are maximum infill spaces of mesh no bigger than 75mm? (AS 4687-2.1)

  • Is access blocked underneath the fence?

  • Are braces, counterweights and base plates installed as necessary? (AS 4687-2.1.7)

  • Are hoardings installed?

  • Is plywood a minimum of 12mm thick and painted? (AS 4687-2.2)

  • Has an engineer designed, inspected and signed off the hoarding? (AS 4687-2.2.4)

  • Have fences and hoardings been installed as per manufacturers recommendations and by a competent person?

Personal Protective Equipment

  • Have workers been supplied with appropriate PPE? (WHS Regs 44)

  • Have other control measures been implemented to reduce the amount of PPE needed? (WHS Regs 36)

  • Have workers been consulted about the need for and type of PPE supplied? (WHS Act 49)

  • Have workers been trained in the use and maintenance of the PPE? (WHS Regs 44)

  • Is the PPE suitable for the work, size, fit and comfort of the worker? (WHS Regs 44)

  • Is storage provided for PPE? (WHS Regs 44)

  • Is the PPE maintained, repaired and replaced as needed? (WHS Regs 44)

Work Areas


  • Is there safe access and egress to and from work areas, both under normal conditions and an emergency? (WHS Regs 40)

  • Are there walkways to separate workers from moving plant?

  • Are access routes free of obstructions and stored materials?

  • Are aisles and walkways at least 600mm wide?

  • Is access to and from work areas adequately lit? (40 lux)

  • Are there handrails on at least one side of every stairway? (AS 1657)

  • Are work areas adequately lit? (160 lux)

  • Is there enough space for workers to carry out work without risks to heath and safety? (WHS Regs 40)

  • Are the location of exits clearly marked and are there signs showing directions to exits posted?

Manual Tasks


  • Has a risk assessment been performed for hazardous manual tasks? (WHS Regs 34)

  • Have other options been explored to avoid heavy lifting?

  • Workers are not repetitively lifting objects heavier than 20kg?

  • Are workers lifting heavy objects suitably?

  • Have workers been trained in correct lifting techniques?



  • Are there adequate amenities for all workers on site?

  • Are amenities hygienic, ventilated and well lit? (WHS Regs 41)

  • Are there covered walkways to access amenities in the event of inclement weather?

  • Is there enough space to seat all workers on site at one time? (1m2 per person)

  • Are there enough toilets for workers? (1 per 15 workers) (WHS Regs 41)

  • On multi-storey buildings are toilets located on at least every second floor?

  • Are toilets clean, hygienic, well lit and easily accessible? (WHS Regs 41)

  • Are there enough hand-washing basins provided? (1 in 30 workers)

  • Do workers have easy access to cool, clean drinking water?

  • Are workers required to change in and out of clothes?

  • Are change rooms clean, hygienic and well lit?

  • Are change rooms a comfortable temperature for workers to change in?

  • Is there a clear space of 0.5m per worker?

  • Is there enough seating for workers to get changed?

  • Are there mirrors either inside or directly outside?

  • Is there an adequate number of hooks and/or shelves?

  • Does the work undertaken require showers to be supplied?

  • Is there at least 1 shower for every 10 workers?

  • Do showers have a clean, slip-free surface?

  • Is there a floor area of at least 1.8m2?

  • Are partitions at least 1650mm high and no higher than 300mm above the floor?

  • Is there a dressing area containing a seat and hooks?

  • Does every shower have a lockable door?

First Aid


  • Is there adequate first aid facilities at the workplace? (WHS Regs 42)

  • Are first aid locations clearly marked?

  • Are there enough trained first aiders, 1 for every 25 workers? (WHS Regs 42)

  • Is there a first aid room?

  • Is the room hygienic, ventilated and well lit?

  • Is it easily accessible, with a minimum door width of 1m?

  • Is there adequate first aid equipment? (WHS Regs 42)

  • Is the first aid kit regularly checked and restocked?

  • Are first aid records kept on site?



  • Is electrical equipment regularly tested and tagged? (WHS Regs 150, AS/NZS 3012-3.1)

  • Are records kept of all testing and tagging? (AS/NZS 3012-3.1)

  • Does wiring have protection against mechanical damage? (AS/NZS 3012 2.5.3)

  • Are distribution boards located so no leads need to be piggy-backed? (AS/NZS 3012-2.3)

  • Is there suitable protection from damage/weather? (AS/NZS 3012-2.3)

  • Do boards have lockable, hinged doors? (AS/NZS 3012-2.3)

  • Are insulated "tie bars" fitted for leads? (AS/NZS 3012 2.3.2)

  • Are RCD's located inside the box with lockable covers? (AS/NZS 3012-2.4)

  • Is there an isolation switch which only a licensed electrician can reset? (AS/NZS 3012-2.4)

  • There is no wiring is attached to temporary fence panels? (AS/NZS 3012-2)

  • Is temporary construction wiring labelled every 4m? (AS/NZS 3012-2)

  • Are leads no longer than 30m? (AS/NZS 3012)

  • Are non-conductive lead stands/hooks in use? (AS/NZS 3012-2.6.9)

  • No leads are used between levels on multi-storey buildings? (AS/NZS 3012 2.6.8)

Working At Heights


  • Has a SWMS has been prepared where a worker can fall 2m or more? (WHS Regs 299)

  • Has a risk assessment been performed for all other heights? (WHS Regs 78)

  • Is the highest measure in the hierarchy of control being implemented? (WHS Regs 79)

  • Are controls inspected and maintained? (WHS Regs 37)

  • Are emergency and rescue procedures in place? (WHS Regs 80)

  • Are warning signs in place highlighting the risk of falls? (WHS Regs 79)

  • Is guard rail securely fixed? (WHS Regs 79)

  • Is guard rail between 900mm and 1100mm high and contains a mid rail and toe-boards or mesh infill?

  • Are penetrations covered immediately and securely fixed and marked?

  • Is cover strong enough to prevent persons or objects falling through?

  • Is roofing work being performed?

  • Is guard rail or scaffold installed to suit roof pitch?

  • Is safety mesh installed that complies with AS/NZS 4389?

  • Is mesh lapped 150mm and tied off 4-5 times on each longitudinal wire?

  • Are harnesses being used? (AS/NZS 1891)

  • Are harnesses being used as a last resort?

  • Have workers been trained in using harnesses?

  • Are harnesses in good condition and inspected regularly?

  • Are harnesses only connected to suitable anchorage points? (AS/NZS 1891)


  • Are ladders maintained and inspected regularly?

  • Are all ladders rated for industrial use only of at least 120kg? (AS/NZS 1892)

  • Are ladders only used as a means of access and egress or light duty work of short duration?

  • Are ladders secured from movement in all directions?

  • Are ladders installed at the correct angle of 4:1?

  • Does the ladder extend at least 1m above the landing?

  • Are three points of contact maintained at all times?

  • Do trestle ladders have a platform width of at least 450mm?

  • No ladders are used on balconies?



  • Was scaffolding over 4m erected by a competent person? (WHS Regs 225)

  • Has scaffold been inspected and signed off? (WHS Regs 225)

  • Is sign-off tag displayed in a conspicuous location?

  • Are incomplete scaffolds appropriately closed and signage installed to prevent unauthorised access?

  • Is scaffold erected on firm, level ground?

  • Are mesh/screens installed where objects can fall?

  • Has public protection been provided?

  • Have only compatible components been used?

  • Is there adequate bracing installed, every third bay the full height of the structure?

  • Are ties at no more than 4m vertical intervals and within 2m of the top?

  • Is regular maintenance and inspections carried out by a competent person? (WHS Regs 213)

  • Are records are kept on site? (WHS Regs 237)

  • Are guardrailings, toeboards and mesh screens installed wherever a person or object could fall 2m or more? (AS/NZS 1576 3.5)

  • Is there safe access and egress to and from working platforms? (AS/NZS 1576 3.6)

  • Is the gap between the working face of the scaffold and structure less than 225mm? (AS/NZS 1576 3.5.5)

  • Are there self-closing access gates/hatches installed at top of ladders?

  • Are ladders/stairs in good condition?

  • Are ladders installed at 1:4 and secured against displacement in any direction? (AS/NZS 1576 3.6.4)

Mobile Scaffolds

  • Mobile scaffolds are erected by a competent person?

  • Are they built according to manufacturers specifications?

  • Is scaffold only accessed via an internal ladder?

  • Are wheels locked when in use?

  • Are mobile scaffolds only used on a firm level surface?

  • Scaffold are not moved while people are on platform?



  • Are designer/engineer drawings available on site? (WHS Regs 295)

  • Has an engineer signed off on any modifications?

  • Is appropriate signage erected to restrict unauthorised entry?

  • Are installers properly trained to erect formwork using safe methods?

  • Are braces installed to prevent movement?

  • Timber footings are not used where they can be under water?

  • Are bearers and joists in good condition?

  • Is plywood in good condition and labelled appropriately?

  • Is edge protection installed as soon as possible?

  • Are designated access ways defined?

  • There are no gaps in false decks wider than 250mm?

  • Are work platforms at least 450mm wide?

  • Are penetrations covered immediately, secured and marked?

  • Has an engineer inspected and signed off before concrete pouring commences?

  • Is access restricted during erection, pours and stripping?

  • Has an engineer signed off before stripping commences?

Plant & Equipment


  • Is there a plant register kept on site?

  • Is a copy of the manufacturers specifications available? (WHS Regs 198)

  • Does it comply with manufacturers recommendations? (WHS Regs 202)

  • Is the design registration readily accessible? (WHS Regs 260)

  • Plant is only used for the purpose which it is designed? (WHS Regs 206)

  • Does the operator/installer have appropriate license/competency? (WHS Regs 81)

  • Are log books kept and up to date? (WHS Regs 237)

  • Has a Safe Work Method Statement (SWMS) been prepared for the woirk?

  • Is the SWMS being followed?

  • Are all controls and instruments clearly labelled, marked and operating correctly - including lights, horn, emergency cutoff, brakes, gauges etc.?

  • Is there a fire extinguisher fitted?

  • Has routine maintenance been performed?

  • Have the major inspections been completed as per the manufacturer's specifications?

  • There are no obvious signs of oil leaks?

  • Are reverse alarm and warning devices fitted? (WHS Regs 192)

  • Is a seat belt fitted and in use? (WHS Regs 206)

  • Are controls in place to separate pedestrians from moving plant and machinery? (WHS Regs 215)

Power/Hand Tools

  • Are tools being used for their intended purpose?

  • Is adequate storage provided?

  • Are tools in good working condition?

  • Have workers been trained in the correct use of tools?

  • Are guards and safety devices fitted and not altered? (WHS Regs 208)

Specific Plant Assessments

  • Concrete pumps and placement booms

  • Is there a logbook kept on the pump and available for inspection?

  • Is the logbook maintained and kept up to date?

  • Does the logbook show daily pre-operation inspections?

  • Does the logbook show routine maintenance inspections?

  • Does the logbook show annual inspections?

  • Is the assessment for service (six year major) current?

  • Has pipeline thickness testing been performed regularly (for single wall)?

  • Is there a procedure for pipe discard (twin wall)?

  • Is there an instruction manual kept with the pump unit which includes; set up procedures, operating instructions, clean out procedures, and maintenance procedures?

  • Has the operator received appropriate training, information and instruction for this particular pump?

  • Has the line hand received the same inductions?

  • Are there documented records of worker training and inductions?

  • Are there any outstanding enforcement notices on the concrete pump?

  • For mobile boom pumps, is there a current plant registration?

  • For mobile boom pumps, does the operator hold the relevant High Risk Work Licence (HRWL)?

  • Does the truck have the appropriate fixed compliance plant and/or certification for its use?

  • Is the operator aware of appropriate exclusion zones for electrical conductors?

  • Is there a Safe Work Method Statement (SWMS)?

  • Is the work being carried out in accordance with the SWMS?

  • Does the SWMS identify hazards and appropriate controls?

  • Are warning and operational signs fitted?

  • Is there a warning device fitted that can be operated from the ground near the hopper area?

  • Are there easily accessible emergency stops fitted?

  • Is there easy, safe access onto the pump?

  • Are there any uncontrolled slip, trip, or protrusion hazards?

  • Do the air reservoir tanks have a pressure gauge fitted?

  • Is there a blow off or safety valve fitted on the tanks?

  • Is there an indication that the module mounting bolts are loose or missing?

  • Are there any visible cracks in the chassis or module?

  • Are all the controls for the boom and outrigger operation clearly marked and visible?

  • Are all pressure gauges and controls clearly marked and functional on the control panel?

  • Is there a safety chain, sling or other retaining device fitted to the drop hose and reducer?

  • Does the drop hose comply with the manufacturers specifications?

  • Are all retaining clamps fitted to quick release pipe clamps?

  • Do the clamps appear to be in good condition?

  • Are the clamps marked with their maximum operating pressure?

  • Are high pressure clamps used at the hopper end?

  • Does the pipeline appear to be in good condition?

  • Are there any visible cracks in the boom?

  • Are there any signs that any boom pins are worn or are there missing retainers or keepers?

  • Are there any visible oil leaks?

  • Are there any damaged hydraulic hoses?

  • Are there any exposed moving parts (eg. fans, shafts, pulleys or unguarded gears)?

  • Are the stabiliser legs/outriggers in good condition?

  • Are pads/timbers provider under outrigger feet?

  • Can the outriggers be securely locked in place when the pump is in travel mode?

  • If short legging is used, does the manufacturer allow it and are there written procedures?

  • If there is a risk of collision with the boom is there a procedure to help prevent this?

  • Is a hopper grill in place that provides adequate protection from moving parts?

  • Do the agitator paddles and valve system stop when the grill is lifted?

  • Does the accumulator drop all pressure when the grill is lifted?

  • If compressed air is used for cleaning out the lines, is there a system to indicate when the line is pressurised?

  • Is the dump valve on the blow out head twice the size as the inlet valve?

  • Are controls in place to prevent the sponge ball from becoming a dangerous projectile?

  • Is suitable Personal Protective Equipment (PPE) worn by the operator and the line hand?

  • Is a sufficient and hygienic First Aid kit provided?

  • Is traffic management being conducted in a safe manner?

  • To reduce the risk of hose whip, is there a safety observer in place during pump operation to monitor the level of concrete in the hopper to ensure air is not sucked into the pump system?

  • If the boom is a 32m Daewoo or Everdigm boom, has the issue of boom collapse near the wear plates been addressed?

  • Piling Rigs

  • Are Compliance/ID Plates fitted to the machine?

  • Are load charts fitted inside the cabin?

  • Are the tracks in good condition, with no obvious signs of damage to treads or sprockets?

  • Is cabin kept neat and tidy to allow safe operation?

  • Are all chains fitted with tags identifying Safe Working Loads (SWL's), serial numbers and test dates?

  • Does all other lifting equipment have SWL's, serial numbers and test dates clearly marked?

  • Is there means for effective communication in place between the operator, offsiders, supervisors and others?

  • Is there an effective operational safety zone (OSZ) set up?

  • The equipment is not operating within the "no go zone" near overhead powerlines?

  • Are exclusion zones set up within the OSZ to prevent access to high risk areas?

  • Has a competent person (e.g. Geotechnical Engineer) inspected and signed off prior to works commencing?

  • Hoists

  • Has the hoist been installed as per engineers recommendations? (WHS Regs 237)

  • Is the mast plumb with no obvious damage to the mast or rollers?

  • Are the mast ties installed at intervals specified in the operations manual or engineering drawings? (WHS Regs 202)

  • Is the hoist power supplied directly from the main switchboard not a sub board? (AS3012 Appendix J)

  • Is electrical equipment/cables contained and protected against mechanical damage? (AS3012)

  • Does the hoist encroach on any "no go zones" for overhead powerlines?

  • Has the operator been trained specifically for the model in operation? (WHS Regs 39)

  • Can the operator describe the method required for resetting the overspeed device? (AS 2550.7-7.2.1)

  • Can the operator describe the procedure for lowering the car in the event of an emergency?

  • Are the make, model, serial number and Safe Working Load (SWL) prominently displayed inside the car? (AS1418.7-4.7)

  • Does the overspeed safety device have a metal plate fitted that is readily visible and marked with the maximum speed in m/sec, the manufacturer and serial number, and the retest date of the gear? (AS1418.7-

  • Has the daily pre-operational inspection been completed? (AS2550.7-7.2.2 & 9.2)

    Checks should include;
    - operating and emergency controls
    - safety switches and interlocks
    - structure
    - cables and wiring
    - placards, decals, warnings, control markings, operating manuals and logbooks
    - access provisions
    - guarding
    - cleanliness, including build-up of building materials or waste under the platform
    - freedom of movement of the hoist, including ensuring that there are no external obstructions in the hoists path
    - items specified by the management

  • Are all safety related problems rectified prior to using the hoist?

  • Is the car free from excessive damage?

  • Is the hoist provided with both normal and emergency lighting? (WHS Regs 40 & AS1418.7-

  • Are the operator controls inside the car, functioning as intended, in good condition, and clearly marked? (WHS Regs 210)

  • Are the emergency stops clearly marked and functioning as intended? (AS1418.7-4.5.9)

  • Are the final limit switches functioning correctly? (AS1418.7-4.5.14)

  • Is there adequate access to the roof of the car?

  • Is there adequate compliant handrail on the roof? (WHS Regs 306 & AS1657)

  • Is the floor of the car and all landings free of materials and debris? (WHS Act 20 & 40)

  • is the risk of falling objects adequately controlled at each landing? (WHS Regs 55)

  • Is the risk of falls adequately controlled at each landing? (WHS Regs 78)



  • Are cranes in use on site?

  • Is the crane registered? (WHS Regs 266)

  • Are all records kept on site? (WHS Regs 237, AS 2550.1-6.2)

  • Are regular maintenance checks done by a competent person? (WHS Regs 235, AS 2550.1-6.2)

  • Does the crane comply with manufacturers specifications and have no modifications or alterations? (AS 2550.1-6.3)

  • Have daily pre-start checks been completed? (AS 2550.1-6.1)

  • Are log books completed and up to date? (AS 2550.1-7.3)

  • Are clearance zones established around the cranes? (AS 2550.1-4.3)

  • Are no go zones setup for not coming within 6m of powerlines or 3m with a qualified spotter? (WHS Regs 166, AS 2550.1-6.19)

  • Are safe systems and procedures in place to avoid collisions with other cranes, people or plant? (WHS Regs 214, AS 2550.1-4.5)

  • Is 10kPa overhead protection provided to sheds and amenities?

  • Are drivers and doggers appropriately licensed? (AS 2550.1-6.2)

  • Are there enough doggers to handle the workload?

  • Are there documented lifting procedures in place for special lifts? (AS 2550.1)

  • Are wind/weather conditions monitored? (AS 2550.1-6.22)

  • Are emergency procedures in place? (AS 2550.1-6.2)

Mobile Cranes

  • Are mobile cranes in use on site?

  • Does the crane have the CraneSafe green sticker displayed?

  • Is the crane setup on firm, level ground rated to take it's load?

  • Is the crane fitted with outriggers?

  • Are they;

  • Set correctly according to the manufacturers recommendations?

  • On pads fully supported by ground?

  • Set to lift all wheels off the ground?

  • Is the proper counter weight being used?

  • Are tag lines used for pick and carry operations?

Vehicle Loading Cranes

  • Are vehicle loading cranes being used on site?

  • Is the operator competent?

  • Are stabilisers extended?

  • Are wheels still on the ground?

  • Is tyre pressure correct, as per manufacturers specifications?

Tower Cranes

  • Are tower cranes erected on site?

  • Has the CFMEU been notified before erection?

  • Have pre-erection inspections been completed?

  • Have pre-commissioning inspections been completed?

  • Does crane have CraneSafe green sticker displayed?

  • Is base fully enclosed with 1.8m fencing?

  • Do operators have safe access and egress? (AS 2550.1-6.2)

  • Is the crane remotely operated?

  • Are the following measures in place; (AS 2550.1-6.3)

  • Operator works from a designated area which is close to the crane and can maintain good visibility of the load?

  • Operator remains stationary when the load is in motion?

  • Have doggers to direct the operator whenever the load is out of sight?

  • The remote control is protected from unauthorised use?

Lifting Equipment


  • Is there a register of all lifting equipment?

  • Is the working load limit (WLL) clearly displayed?

  • Is an identification number displayed?

  • Do hooks have operable safety latches fitted?

  • Is the correct lifting equipment being used for the load?

  • Are loads slung correctly and safely?

  • Is equipment stored correctly?

  • Is equipment in good condition and inspected regularly?

  • Are soft slings being used?

  • Are they;

  • Inspected before each use and at least once every three months?

  • Proof load tested every twelve months?

  • Free of external wear, cuts and abrasions?

  • Not discoloured from sunlight, high temperatures or chemical exposure?

  • Fitted with undamaged clear labels or tags?

  • Stored in a clean, dry and ventilated place?

  • Slings are not stored on the ground?

  • No slings in use have knots tied in them or are twisted?

  • Is protection in place on sharp edges?

Man Boxes (AS 2550.1-6.18)

  • Is the man box registered? (WHS Regs Schedule 5)

  • Are emergency retrieval plans in place before any workers are lifted?

  • Is the box marked with the safe working load, tare mass and design registration number?

  • Are fall-arrest anchorage points installed?

  • Is the box supplied with lifting slings attached by hammerlocks or moused shackles?

  • Does the work box have an inward opening, self-closing door with a latch to prevent unintentional opening?

  • Is there a first aid cage on site?

  • Does the cage;

  • Only get used to retrieve injured people?

  • Sit within the radius of the crane and is easily accessible?

  • Have clear first aid signage?

  • Have an outward swinging door to allow stretcher access?

  • Have fully enclosed sides to prevent falls?

Hazardous Chemicals

  • Are hazardous chemicals being used on site?

  • Are hazardous materials correctly labelled? (WHS Regs 341)

  • Are current safety data sheets on site and easily accessible? (WHS Regs 344)

  • Is there a hazardous chemicals register kept on site and up to date? (WHS Regs 346)

  • Is there signage to warn of hazardous chemical risks? (WHS Regs 353)

  • Are there measures in place to contain and manage spills? (WHS Regs 357)

  • Is there appropriate fire protection/firefighting equipment for the types of hazardous chemicals on site? (WHS Regs 359)

  • Is correct safety equipment/PPE provided, maintained and accessible? (WHS Regs 362)

  • Are workers trained and supervised in the correct handling of hazardous chemicals? (WHS Regs 379)


  • Has asbestos been discovered at the workplace? (WHS Regs 419)

  • Have WorkCover been notified of removal? (WHS Regs 466)

  • Has an occupational hygienist been engaged? (WHS Regs 422)

  • Has a licensed removalist been contracted to remove asbestos? (WHS Regs 458)

  • Have workers been trained? (WHS Regs 445)

  • Is there an asbestos management plan in place? (WHS Regs 429)

  • Does the plan include;

  • Processes for reviewing and keeping the plan up to date?

  • The identification of asbestos or ACM?

  • Reasons for decisions, about the management of asbestos?

  • Procedures for dealing with asbestos emergencies?

  • Information for workers responsibilities, consultation, information and training?

  • Has an asbestos register been prepared for the workplace? (WHS Regs 425)

  • Does the register include;

  • Regular reviews and updating? (WHS Regs 426)

  • Identification of asbestos or ACM presence?

  • The date on which it was identified?

  • The location, type and condition of the asbestos or ACM?

  • Has an asbestos removal control plan been prepared? (WHS Regs 464)

  • Does the plan include;

  • Details of how the work will be carried out including method, tools, equipment and PPE?

  • Details of the asbestos to be removed including location, type and condition?

  • Has a copy has been provided to the principal contractor?

  • Has the site been cleared by occupational hygienists? (WHS Regs 473)

  • Is there a clearance certificate on site? (WHS Regs 474)


  • Is there an Environmental Management Plan in place? (ISO 14001)

  • Does the plan include;

  • Which licenses, consents and approvals are required?

  • How compliance with environmental legislation will be achieved?

  • Instructions on how contractors must meet obligations?

  • Procedures for dealing with environmental emergencies?

  • Procedures for reviewing and updating the plan?


  • Is there a Water Quality Management Plan in place?

  • Does the plan include;

  • Use of silt fences and traps?

  • Procedures for de-watering including testing and permits?

  • Paint, truck and concrete washouts?

  • Plans for collecting and discharging storm-water and ground-water?

  • Measures to avoid the release of contaminates into waterways/drainage systems?

  • Are controls in use and maintained?

Erosion and Sediment

  • Is there an Erosion and Sediment Control Plan in place?

  • Does the plan include;

  • Use of sediment fences?

  • Measures for controlling stockpiles?

  • Cattle grids and street sweeping to prevent mud and dirt on the roadways?

  • Sediment control barriers/filtration for drains?

  • Stabilisation of soils that will be exposed for more than 28 days?

  • Are controls in use and maintained?

Dust and Air

  • Is there a Dust and Air Quality Protection Plan in place?

  • Does the plan include;

  • Controls so that no dust, fumes, odours or chemical emissions are released beyond site boundaries?

  • Dust suppression measures?

  • Procedures to meet DA requirements and monitoring?

  • Speed limits to lower dust generation?

  • Gravel on haul roads and high traffic areas?

  • Mesh on perimeter fences to act as wind protection and prevent dust from leaving?

  • Maintenance of plant and equipment?

  • Monitoring of vehicle emissions?

  • Covering of loads?

  • Are controls in use and maintained?

Noise and Vibration

  • Is there a Noise and Vibration Management Plan in place?

  • Does the plan include;

  • Work is conducted within work hours as defined by council?

  • Noise emission from plant is kept low? (WHS Regs 59)

  • Workers are not exposed to excessive noise, above 85dB/8h or above 140dB? (WHS Regs 57)

  • Workers are provided with audiometric testing? (WHS Regs 58)

  • Excessive vibration is monitored?

  • Neighbours are contacted about excessive noise and vibration?

  • Are controls in use and maintained?


  • Is there a Waste Management Plan in place?

  • Does the plan include;

  • Storage areas for separation, collection and recycling?

  • The use of licensed contractors to remove waste?

  • Recycling of materials from the site office?

  • Receipts are kept for disposal of waste?

  • Waste minimisation measures for contractors?

  • Procedures for dealing with contaminated waste?

  • Are controls in use and maintained?

Confined Spaces


  • Is work being carried out in confined spaces?

    WHS Regulations 2011 section 5
    CONFINED SPACE MEANS an enclosed or partially enclosed space that:
    (a) is not designed or intended primarily to be occupied by a person, and
    (b) is, or is designed or intended to be, at normal atmospheric pressure while any person is in the space, and
    (c) is or is likely to be a risk to health and safety from:
    (i) an atmosphere that does not have a safe oxygen level, or
    (ii) contaminants, including airborne gases, vapours and dusts, that may cause injury from fire or explosion, or
    (iii) harmful concentrations of any airborne contaminants, or
    (iv) engulfment,

  • Has a risk assessment been done by a competent person? (WHS Regs 66)

  • Have signs been erected before and for the duration of works? (WHS Regs 68)

  • Confined space entry permits have been issued? (WHS Regs 67)

  • Does it;

  • Identify the confined space to be entered?

  • Contain the names of the people entering?

  • Contain the duration of the work to be done?

  • Show measures that are in place based on the risk assessment?

  • Emergency procedures are in place including rescue? (WHS Regs 66)

  • First Aid and rescue procedures have been tested and are effective? (WHS Regs 74)

  • Are flammable gases, vapours or mist monitored? (WHS Regs 72)

  • Is continuous communication with a worker outside the confined space maintained? (WHS Regs 69)

  • Have workers been issued with and trained to use PPE including respiratory equipment? (WHS Regs 75)



  • Is there any demolition of a structure or part of a structure that is load-bearing?

  • Has WorkCover been notified? (WHS Regs 142)

  • Does the demolition contractor hold the appropriate license?

  • Have the necessary engineer reports been obtained?

  • Is a Demolition Plan in place?

  • Does the plan include;

  • The location of the structure to be demolished?

  • The overall height of the structure and the distance from boundaries?

  • The type of structure, it's supports and materials?

  • The proposed methods of demolition and the types of plant/equipment to be used?

  • The proposed methods for handling and disposing of materials?

  • Proposed methods of controlling access and egress to the workplace?

  • The sequence of works and duration of each?

  • The proposed hoardings, scaffolding and fencing?

  • Traffic management plans?

  • Exclusion zones that are established to protect workers?

  • Essential services have been located and disconnected? (WHS Regs 304)

  • The general condition and effect on neighbouring structures and businesses?

  • Emergency arrangements and rescue plans?

  • Has a copy of the asbestos register been obtained? (WHS Regs 450)

  • Has an occupational hygienist inspected the site? (WHS Regs 451)

  • If asbestos or ACM is present, has it been removed before demolition work commenced? (WHS Regs 451)

  • Has a test been conducted for the presence of lead and other hazardous materials?

  • If there are any present, what are they?

  • Are control measures in place for working with hazardous materials?

  • There is no over-lapping of demolition work and construction?



  • Are there excavation works taking place?

  • Has current information on underground essential services been obtained? (WHS Regs 304)

  • Does the information contain;

  • The services which may be affected?

  • The location, including depth, of any pipes, cables or other plant?

  • Any conditions on the proposed excavation work?

  • Have workers been provided with the information? (WHS Regs 304)

  • Have the ground/soil conditions been assessed by a competent person?

  • Are control measures in place to stop a person from falling into excavations? (WHS Regs 305)

  • Are preventions in place to stop a person working in the excavation from being struck by a falling object? (WHS Regs 305)

  • Have tests/monitoring taken place to prevent anyone being exposed to airborne contaminates? (WHS Regs 305)

  • Is the excavation secured to prevent unauthorised access? (WHS Regs 306)

  • Have measures been put in place, such as shoring, benching or battering to prevent collapse? (WHS Regs 306)


  • Additional Risks/Hazards

  • Notes

  • Signed off by

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