Title Page

  • Conducted on

  • Prepared by

  • Location
  • Gang Name

  • Location

  • Active

  • Retro

Job Description

  • Scope of Works

Excavation Size

  • Width

  • Length

Site General

  • Does the team have a job pack

  • Does the team have access to site plans/utility prints

  • Are RAMS available and understood

  • Does site comply with 'Safety at Streetworks' CoP

  • Does Site have Information Board and Permit number

  • Is there sufficient SLG in place with sand bags to prevent impact from inclement weather

  • Is there a TM plan in place? and is it adhered to

  • Are traffic routes safe and clear

  • Are the general public able to pass the works safely

  • Is appropriate uniform/PPE being Used Flame retardant/dust masks etc

  • Is the site clear and tidy

  • Is waste stored correctlty

Tools and Equipment

  • Are tools and equipment free from obvious defects

  • Are equipment calibration dates valid

  • Are insulated hand tools available and in use

  • Are tools and equipment stored safety and not presenting a risk to others

  • Has the team completed a vehicle check

  • Is the vehicle parked safely

Safety equipment

  • Does the team have a suitably stocked first aid kit

  • Does the team have a fire extinguisher with valid service date

  • Does the team have a cat and genny

  • Does the team have a spill kit

  • Does the team have sufficient means of hand washing/sanitizing

  • Undertake a full PPE spot check and determine if all gang members have the correct equipment

Accreditations

  • Do all gang members have a valid NERS passport

  • Do all gang members have the correct tickets/cards for the tasks

Notes/Comments

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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.