Information

  • Site Name

  • Contractor

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Administration

Letter of Good Standing

  • Is the Letter of Good Standing available on file?

  • Is the Letter of Good Standing up to date?

  • Expiry Date

Notification of Construction Work

  • Notification of Construction Work done in time?

  • When was it sent?

  • Proof that Notification of Construction Work been sent to Dept of Labour?

  • Was the above done for Demolition Work?

  • Was the above done for Asbestos Work?

Mandatory Agreements & Contractor Appointments

  • Mandatory Agreement and Contractor Appointment signed and in the file between Client and Contractor?

  • Mandatory Agreement and Contractor Appointment signed and in the file between Contractor and Sub-Contractor/s?

Acts and Regulations

  • Copy of the Occupational Health and Safety Act on file?

  • Copy of the Construction Regulation 2014 on file?

Health and Safety Management Plan

  • Is there a Health and Safety Plan in the file?

  • Is the plan, Site and Job Specific?

  • Has the plan been signed of by the Construction Manager / Supervisor?

  • Has the plan been approved?

  • Is there a list of Sub-Contractors that will be used?

  • Is there a Organogram in the plan / file?

Health and Safety Policy

  • Is there a Health and Safety Policy in the file?

  • Has the Policy been signed by the CEO/MD of the company?

  • Date it was signed - Not more than 1 year from current date

  • Has the Policy been communicated to all staff on site?

  • What was the last date it was communicated

Medicals - According to CR 2014

  • Does all workers have valid medicals - Annexure 3?

  • Does all plant and machinery operators have valid medicals - Annexure 3?

Induction & Visitors

  • Has all staff working on site been inducted?

  • Has all visitors to the site been inducted?

  • Is there a site visitors register and is it up to date?

Risk Assessment, Safe Work Procedures and Method Statements

Risk Assesment

  • Is there a Site and Job specific Risk Assessment?

  • Has all the Hazards and Risk Identified in the Risk Assessment?

  • Has all the Hazards and Risks been rated and scored?

  • Has the Risk Assessment been approved by the Construction Manager / Supervisor and signed off?

  • Has the Risk Assessment been Reviewed and Monitored by the appointed Risk Assessor?

  • Date the Risk Assessment was last reviewed

  • Has the Risk Assessment been approved by the client?

  • Has the Risk Assessment been communicated to all employees on site?

  • Date it was last communicated to employees

Safe Work Procedures and Method Statements

  • Is there Safe Work Procedures and Method Statements according to the Risk Assessment?

  • Has the Safe Work Procedures and Method Statements been reviewed?

  • Date when the Safe Work Procedures and Method Statements was last reviewed

  • Has the Safe Work Procedures and Method Statements been communicated to all employees on site?

  • Date the Safe Work Procedures and Method Statements was last been communicated to employees

Fall Protection Plan & Fall Rescue Plan

Fall Protection Plan

  • Is there a site and job specific Fall Protection Plan for all work being done in an elevated position?

  • Is there a Risk Assessment according to the risks identified by the Fall Protection Plan?

  • Has the Fall Protection Plan been approved by the Construction Manager / Supervisor?

  • Has the Fall Protection Plan been approved by the client?

  • Has the Fall Protection Plan been Reviewed and Monitored by the appointed Fall Protection Plan Developer?

  • Date the Fall Protection Plan was last reviewed

  • Is there Fall Arrest Equipment available on site according to the Fall Protection Plan?

  • Has the Fall Protection Plan been communicated to all employees on site?

  • Date the Fall Protection Plan was last communicated to all employees

Fall Rescue Plan

  • Is there a Fall Rescue Plan in the file?

  • Is the Fall Rescue Plan according to the risks identified in the Fall Protection Plan?

  • Is the Fall Rescue Plan sufficient for the work being done in an elevated position?

Incidents, Accidents and Emergency Procedures

Incidents and Accidents Procedures

  • Is there a Incident and Accident Procedure in the file?

  • Is there Annexure 1 forms available in the file?

  • Is there W.CL.2 forms available in the file?

  • Has the Incident and Accident Procedure been communicated to all employees on site?

  • Date when the Incident and Accident Procedure was last communicated to all employees

Emergency Procedure

  • Is the Emergency Procedure site specific?

  • Is the Emergency Numbers posted for all employees to have access to it?

  • Is there access to a telephone in case of an emergency on site?

  • Is there a First Aid Box available on site?

  • Has the Emergency Procedure been communicated to all employees on site?

  • Date when the Emergency Procedure was last communicated to all employees

Hazardous Chemical Substances

  • Is there MSDS's for all the HCS that are on site?

  • Has all employees been trained on the HCS and MSDS's that are on site?

  • Date when the HCS and MSDS's was last communicated to all employees

Environmental Management Plan

  • Is there an Environmental Management Plan in the file?

  • Has the Environmental Management Plan been approved by the client?

Appointments

Has the following been appointed in writing?

  • Delegation of Duties - 16.2

  • Proof of Competency?

  • Construction Manager - CR 8(1)

  • Proof of Competency?

  • Construction Supervisor - CR 8(7)

  • Proof of Competency?

  • Assistant Construction Supervisor - CR 8(8)

  • Proof of Competency?

  • Safety Officer (Full or Part Time) - CR 8(5)

  • Proof of Competency - Certificate

  • Risk Assessor

  • Proof of Competency - Certificate

  • Fall Protection Plan Developer

  • Proof of Competency - Certificate

  • Temporary Works Designer - CR 12(1)

  • Proof of Competency - Certificate

  • Temporary Works Supervisor - CR 12(2)

  • Proof of Competency?

  • Temporary Works Erector - CR 12(3)(a)

  • Proof of Competency?

  • Excavation Supervisor - CR 13(1)

  • Proof of Competency?

  • Demolition Supervisor - CR 14(1)

  • Proof of Competency?

  • Scaffold Erector - CR 16

  • Proof of Competency - Certificate

  • Scaffold Inspector - CR 16

  • Proof of Competency - Certificate

  • Scaffold Supervisor - CR 16

  • Proof of Competency?

  • Material Hoist Inspector - CR 19(8)

  • Proof of Competency?

  • Vehicle and Mobile Plant Inspector - CR 23

  • Proof of Competency?

  • Vehicle and Mobile Plant Operator - CR 23

  • Proof of Competency - Certificate

  • Electrical Installations and Machinery Inspector - CR 22

  • Proof of Competency - Certificate

  • Stacking and Storage Supervisor - CR 28

  • Proof of Competency?

  • Fire Equipment Inspector - CR 29

  • Proof of Competency?

  • Fire Fighter - CR 29

  • Proof of Competency - Certificate

  • Hazardous Chemical Substances Supervisor

  • Proof of Competency?

  • Lifting Machine Inspector - DMR 18

  • Proof of Competency?

  • Lifting Machine Operator - DMR 18

  • Proof of Competency?

  • Lifting Tackle Inspector - DMR 18

  • Proof of Competency?

  • Banksman / Slinger - GMR 4

  • Proof of Competency?

  • Flame Cutting / Welding Supervisor - GSR 9

  • Proof of Competency?

  • Incident Investigator - GAR 9

  • Proof of Competency - Certificate

  • First Aider - GSR 3

  • Proof of Competency - Certificate

  • Ladder Inspector

  • Proof of Competency?

  • Health and Safety Representative - OHS Sec 17

  • Proof of Competency - Certificate

  • Hand Tool Inspector

  • Proof of Competency?

  • Portable Electrical Tool Inspector

  • Proof of Competency?

Registers and Checklists

  • Fire Equipment

  • Date last checked

  • First Aid Box

  • Date last checked

  • Date last checked

  • Hand Tool Register

  • Date last checked

  • Daily - Portable Electrical Tool Register

  • Date last checked

  • Ladder Register

  • Date last checked

  • Daily - Excavation Register

  • Date last checked

  • Demolition Register

  • Date last checked

  • Daily - Temporary Works Register

  • Date last checked

  • Daily - Material Hoist Register

  • Date last checked

  • Daily - Vehicle and Mobile Plant Checklist

  • Date last checked

  • Scaffold Checklist

  • Date last checked

  • Daily - Compacting Equipment Checklist

  • Date last checked

  • Welding and Flame Cutting Register

  • Date last checked

  • Fall Protection Equipment Checklist

  • Date last checked

  • Stacking and Storage Checklist

  • Date last checked

  • Lifting Tackle - Monthly Register

  • Date last checked

  • Lifting Tackle - Quarterly Inspection Checklist

  • Date last checked

  • Lifting Tackle - Load Test Certificate

  • Date of last load test

  • Lifting Equipment - Monthly Register

  • Date last checked

  • Lifting Equipment - 6 Monthly Inspection Checklist

  • Date last checked

  • Lifting Equipment - Annual Load Test Certificate

  • Date of last load test

  • Electrical Distribution Boards

  • Date last checked

  • Health and Safety Representative Monthly Checklist

  • Date last checked

Physical Inspection / Audit

Site Inspection / Condition

  • Barricading of site or areas

  • Control of Traffic and Pedestrians

  • Ablution Facilities Adequate

  • Ablution Facilities Clean

  • Waste Removal Adequate - Bulk

  • Building Waste Removal Adequate - Bricks / Cement Bags

  • General Waste Removal Adequate - Papers / Bottles and other waste

  • Emergency Assembly Point Identified

  • Stacking and Storage on site

  • Tripping Hazards on site

  • Walkways and other paths

  • Excavations - Correctly Sloped

  • Excavations - Correctly Barricaded

  • Excavations - Excess Soil removed

  • Excavations - Ladders used

  • Excavations - Correct Warning Signs

  • Scaffolding - Signage (Safe or Unsafe for Use)

  • Scaffolding - Safe Access (Ladder)

  • Scaffolding - Fully Boarded

  • Scaffolding - Toe Boards in place

  • Scaffolding - Knee Rails in place

  • Scaffolding - Hand Rails in place

  • Scaffolding - Bracing Enough

  • Scaffolding - Signed Off by Scaffold Inspector

  • Lifting Equipment Numbered?

  • Date of last check / load test

  • Fire Fighting Equipment in good condition and working order

  • Date last serviced

  • Overall Hand Tools in good working order

  • Overall Portable Electrical Tools in good working order

  • Overall Ladders in good working order

  • PPE Compliance - Workers - Hard Hats

  • PPE Compliance - Workers - Safety Shoes

  • PPE Compliance - Workers - Reflective Vests

  • PPE Compliance - Workers - Other (Safety Glasses / Ear Protection)

  • PPE Compliance - Site Management - Hard Hats

  • PPE Compliance - Site Management - Safety Shoes

  • PPE Compliance - Site Management - Reflective Vests

  • PPE Compliance - Visitors - Hard Hats

  • PPE Compliance - Visitors - Suitable Protective Shoes

  • General Bricklaying Methods

  • General Plastering Methods

  • General Concrete Pouring Methods

  • General Reinforcing Steel Work Methods

  • General Painting Methods

  • General Welding Operations

  • General Material Handling Methods

  • General Stacking and Storage

  • Traffic Control - Is there enough signage?

  • Traffic Control - Is the signage sufficient?

  • Traffic Control - Is the signage in good condition?

  • Traffic Control - Is it effective?

  • Traffic Control - Is provision made for pedestrians?

  • General Demolition Methods

  • General Working at Heights

  • MornĂ© Maree - SHEQsa

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.