CHC Daily Workplace Inspection Checklist

• Conducted on

  Date

• Prepared by

• Location

Work area/Location:

• Time:

  Date

• Edge protection

  Yes

  No

  N/A

• Exclusion zone signage

  Yes

  No

  N/A

• Washdown units in place

  Yes

  No

  N/A

• Spill bins in place

  Yes

  No

  N/A

Traffic Management

• Drainage

  Yes

  No

  N/A

• Dieback delineation

  Yes

  No

  N/A

• Mobile equipment park up area

  Yes

  No

  N/A

• JHA in place for specific task

  Yes

  No

  N/A

• Light vehicle / Heavy vehicle / Pedestrian separation

  Yes

  No

  N/A

Red Alert Check List

• To be completed on day red alert issued

  Yes

  No

  N/A

• Stockpile drainage

  Yes

  No

  N/A

• Low lying catchment area

  Yes

  No

  N/A

• Creek Crossing drainage

  Yes

  No

  N/A

• Sump entrances

  Yes

  No

  N/A

• Dieback control

  Yes

  No

  N/A

• Pit entry drainage established

  Yes

  No

  N/A

• Identified Hazards

  Yes

  No

  N/A

Sign off and Notes

• Signature:

  Sign

• General Notes/Comments: