• Conducted on

  • Service Provider (if applicable):

  • Contractor Company:

  • Inspection Completed by:

  • Address of location of Works:
  • Onsite Supervisor:

  • Permit to Work?

  • Brief description of works at time of inspection:

Safety Critical Areas

  • If any of the following safety critical areas are not compliant then work at the site should be postponed and escalated to People Leader & Regional HS Advisor:

  • Are Permit / Consents in place?

  • Are escape routes clear?

  • Are safety plans being followed?


  • Hazard Notice Board or similar notice at site entrance(s) <br>Photograph a copy and attach to report

  • Process in place to ensure personnel/visitors are inducted and signed onto daily prestart?

  • Personnel wearing specified PPE as per hazard notices? <br>State what PPE

  • Hazard identification (SWMS or similar) has been completed and is appropriate for the task being conducted?<br>Take photo of SWMS for evidence


  • Hazard Registers completed and on site, appropriate to the task being completed? <br>state what was included in register and if appropriate, take photo

  • Documented Work Plan and drawings available and being followed?<br>Photo as evidence

  • Are relevant Permits in place e.g. Hot Work Permit, Confined Space, WAH etc?<br>State what type and take photo

  • Were persons undertaking work suitably trained & competent?<br>Indicate what training evidence they had available for inspection- NOTE: If not available then follow up directly with Contractor Co. for evidence of competencies.


  • Portable electrical equipment tested and tagged?

  • State date of last test

  • Ladders and working at height equipment tagged and inspected? Who by?

  • State date of test/inspection

  • Safety equipment certified? e.g. harness points and fall arrest equipment checked? Who by?

  • State date of test/inspection

  • All equipment in use in good condition with relevant safety devices fitted correctly? E.g. guards on grinders<br>State type of equipment in use and safety devices evidenced


  • Worksite clean and tidy - No trip hazards? Acceptable level of housekeeping?

  • Dust and other contaminants correctly managed?<br>State type and controls being implemented

  • Containment measures in place to prevent seepage into drains etc? <br>State types of measures in place

  • Hazardous substances being used/stored as per SDS recommendations<br>State type of substance and how it was being controlled


  • Positive Behaviours demonstrated:

  • Any other comments/observations:

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.