Title Page

  • Inspection title

Site Description:

  • Location
  • Contract:

  • Separable Portion:

  • Contractor:

  • Separable Portion:

  • Separable Portions:

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  • Separable Portions:

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General details:

  • Inspection By

  • Accompanied By

  • Date and Time

  • Weather Conditions

  • Detail water level in reference to known site reference (eg. bridge deck)

Site Documentation

  • Is the Site Specific Safety Plan available on site?

  • Are site safety inspections being carried out as per safety plan?

  • Is the current version of Contract Management Plan is on site?

  • Are all employees and (sub)contractor personnel on site completed Site-Specific Inductions?

  • Have Daily Pre-start check sheets been provided for plant including all subcontractor provided and hired plant?

  • Are Daily Pre-starts meetings occurring every day with Subcontractors attending Pre-start meetings and attendances recorded?

  • Have Safety issues raised at daily Pre-starts or toolbox meetings been noted and addressed?

  • Is an approved TMP in place, being reviewed & updated as required (i.e. Restricted Access, exclusion zones, traffic control)? Check plans, diary for entries to ensure personnel working in the vicinity of mobile plant & public vehicles are safe.

  • Is the Vehicle movement plan, including parking arrangements for plant / equipment, segregation of pedestrians effective

  • Is there a Site supervisor or Safety Representative adequate for project site? (include subcontractor supervision review)

  • Has documentation been signed and understood by those undertaking tasks?

  • Are all subcontractor works being undertaken under a SWMS/JSEA?

  • Have all subcontractor SWMS/JSEA been reviewed & signed off by HSE Manager

  • Are Underground / Overhead services plans available on site and clearly identified if present prior to work starting?

  • Have all NCR or corrective actions from prior internal or external audits been addressed?

Details:

  • Subcontractor on site

  • Plant on Site

Health and Safety

  • PPE review - are all personnel including subcontractors wearing the minimum and appropriate PPE for the job?

  • Are exclusion zones identified and being observed with spotters in place where required?

  • Lifting

  • Is there any heavy-lifting being commenced?

  • Is a Lift Plan/ Critical Lift Plan required for activities carried out?

  • Confined Spaces

  • Is there any work in Confined Spaces?

  • Is there a Confined Space Permit in place?

  • Has Worksafe been notified if Confined Space work requires use of BA?

  • Are all controls in place as per confined space permit requirements? (e.g. gas monitoring, Standby Rescue equipment & personnel etc.)

  • Hot Works

  • Is there any Hot Work being performed? (e.g. Welding / spark emitting from grinding)

  • Is there a potential or likely sources of ignition near flammable liquids, gas or any other hazardous atmosphere?

  • Is there a Hot Work Permit in place?

  • Are all controls in place as per Hot Work Permit requirements?

  • Working at Height

  • Are there activities involving Work at Height?

  • Is there a Working at Height permit in place?

  • Are all controls in place as per Work at Height permit requirements?

  • Traffic Management

  • Is there a TTM in place setup as per approved TMP and being managed by a qualified STMS relevant to road category?

  • Is the TTM site audit being completed regularly as per TMP requirements?

  • Emergency Preparedness

  • Is the Emergency Response Plan in place and understood by all staff/subcontractors on site and Emergency Assembly Areas have been identified?

  • Are emergency contact numbers available to personnel on site? (ICE in contacts of phone)

  • Are there stocked First Aid kits & a minimum of 1 certified first aider on site? (ensure that the kit supplies within "used by date")

  • Name of First Aider on Site

  • Are there Fire extinguishers on site, well signed and been serviced in the last 6 months? (include plant extinguishers)

  • Are spill kits required, available on site with instructions for use and operators trained in their use/application?

  • Are there MSDS sheets and register available on site?

  • Hazardous Substances

  • Are all Hazardous substances and dangerous goods clearly identified (labels) and correctly stored?

  • Small Tools & Equipment

  • Are all Electrical equipment tagged and tested (not expired)?

  • Are all electrical equipment being used with RCD

  • Are any Extension leads, cables, hoses, etc. set up appropriately e.g. laid out tidily on ground and free from potential damage or cause any harm?

  • Is Concrete Saw/Grinders being used on site and have been checked for safety prior to use (e.g. correct blades in good condition, safety guards in place, protective equipment worn)?

  • Health & Wellbeing

  • Is Health monitoring required - exposure to hazardous substances (e.g. asbestos, toxic gases, contaminated soils etc.), vibration, noise and being carried out?

  • Is the Site facilities appropriate - fresh drinking water, toilets, shade, extreme weather protection?

  • Are all staff on site fit for work physically and mentally?

Environmental

  • Is there an ESCP in place?

  • Are silt fences being maintained?

  • Do any exposed excavations require rapid stabilisation (i.e. geofabric cloth / hay mulch / stockpile sealed etc.) been attended prior to forecasted rain?

  • Is an SRP or DEB required and being maintained to be working effectively on site?

  • Are the site access stabilised with clean aggregate and/or are there any wheel wash available to mitigate dirt tracking on road?

  • Are there any special Environmental / Cultural / Archaeological Heritage considerations for this project?

  • Is there permit/consent available on site to allow for activities to be carried out following Environmental / Cultural / Archaeological considerations accounted for this project?

  • Have all site personnel been made aware of environmental restricted areas and controls?

  • Have appropriate material / waste / spoil stockpiles / disposal bins been identified, present & risk assessed?

  • Has plant refueling and servicing location been identified, prepared and bunded where required?

Quality Assurance

  • Description of testing type and location

  • Photos of testing and/or records

General Site Condition

  • Any variation to scope of works

  • Instructions Given

  • Is the Site layout effective & allow effective access & egress to site & work zones, Site office/depot setup?

  • Is Site signage appropriate - visible, accurate?

  • Are the Company policies, committee meeting minutes, emergency evacuation, etc. notices are posted in lunch/smoko room?

  • Is the site secured with site fencing to prevent access when unattended and/or security cameras in place to mitigate theft?

  • Are Incidents/near misses being reported - environmental (spills, emissions, noise complaints, impact on native vegetation or wildlife habitat), property damage or personnel injury?

  • General Observations

  • Photos

  • Further internal actions required

  • To be actioned by

  • Signature of person inspecting

  • Signature of supervisor on site

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.