Information
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Document No.
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Job No.
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Site
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Conducted on
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Prepared by
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Location
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Subcontractor
1.0 SITE SIGNAGE AND MANAGEMENT PLAN
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1.1 Is the Safety Management Plan in Temp PowerBox?
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1.2 Is site signage displayed and visible?
2.0 SUBCONTRACTOR CHECKS
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2.1 Are subcontractors aware of relevant site safety information?
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2.2 Confirm subcontractors completed safety briefs to their workers?
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2.3 Confirm all subcontractors and workers have a WHITE/BLUE CARD?
3.0 PUBLIC PROTECTION & CONTROLS
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3.1 Subcontractor has secured/removed any hazards associated with their work prior to leaving site.
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3.2 Is on-site fencing required?
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3.3 Is Traffic Management required?
4.0 TOILET & AMENITIES
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4.1 Are site toilet amenities in a clean condition?
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4.2 Are the amenities in good working order?
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4.3 Is there adequate supply of clean fresh drinking/portable water?<br>
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4.4 is there a rubbish enclosure/bin on site?<br>
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4.5 The bin is located away from the vicinity of the house or areas where vehicles, plant and equipment are parked or stored?
5.0 ACCESS EGRESS
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5.1 Is a safe/clear access provided to all workplaces?
6.0 SCAFFOLDING
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6.1 Are the solid foundations under scaffold safe?
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6.2 Is there adequate bracing to scaffold?
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6.3 Are all work areas fully planked?
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6.4 Are handrails, kick boards, brick guards in use on scaffold over 2mtrs?<br>
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6.5 Is there safe access to the work platforms?<br>
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6.6 Is scaffolding in good condition?
7.0 ELECTRICAL SAFETY
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7.1 Is the Temp power supply box waterproof and in good condition?
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7.2 Is the RCD tripping when tested?<br>
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7.3 Is earth leakage protection test sticker in date?
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7.4 Are all electrical tools and leads in date for test tag?
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7.5 Are all power tools fitted with safety guards?
8.0 CONFINED SPACE (ROOF)
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8.1 Is access safe and adequate?
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8.2 Is lighting adequate?
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8.3 Is ventilation adequate?
9.0 MANUAL HANDLING & DELIVERIES
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9.1 Are subcontractors using safe manual handling techniques?
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9.2 Is mechanical Equipment available for lifting heavy loads?
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9.3 Is the material/equipment delivered, located in a safe location (not on footpath/verge/roadway)?
10.0 PERSONNEL PROTECTIVE EQUIPMENT (PPE)
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10.1 Are all personnel wearing safety footwear with good tread?
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10.2 Are appropriate respiratory protection being used for hazardous substances?
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10.3 Are long sleeve shirts/broad brims hats/SPF15+being used when exposed to sun?
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10.4 Are appropriate gloves used where Required?
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10.5 Are hand creams being used to protect against corrosive substances?
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10.6 Are personnel using appropriate hearing protection when exposed to loud noise?<br>
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10.7 Is noisy machinery moved as far as possible away from workers?
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10.8 Are personnel wearing Australian Standard Safety glasses?<br>
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10.9 Are appropriate safety glasses/shields/goggles being used in hazardous situations
11.0 STORAGE
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11.1 Are hazardous substances/materials stored correctly?
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11.2 Are containers labelled correctly?
GENERAL
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Is the Occupational Safety & Health Act 1984 being followed?
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Are the Occupational Safety & Health Regulations 1996 being followed?
CORRECTIVE ACTIONS
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Enter any corrective actions that will be undertaken
SIGN OFF
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On Site Representative
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Supervisor Signature
