Information

  • Auditing Officer

  • Service Provider

  • Comment (if "Others" is selected for above option)

  • Conducted on

  • Location

SITE DETAILS

  • Project Type

  • Comment (if "Others" is selected for above option)

  • Contract Cordinator

SITE MANAGEMENT PLAN

  • SMP available on site?

  • Dial Before You Dig?

  • TCP plan approval?

  • Scope and Drawings?

  • Permits?

  • Purchase Order?

  • Daily work register?

  • Copy of Community Notification Letter?

  • SMP Corrective Actions:

WORK HEALTH AND SAFETY (WHS) DOCUMENTATION - SMP

  • Auditing officer inducted on site?

  • Site Safety Information board including required PPE?

  • Emergency evacuation plan available and displayed in site office?

  • Evidence of site inductions?

  • Licence/General Induction/Traffic Control Cards

  • Current activities on site:

  • Comment (if "Others" is selected for above option)

  • SWMS for all activities available and up-to-date?

  • Hazardous register substances available and up-to-date?

  • SSSMP available and up-to-date - works greater than $250k?

  • Weekly site inspection for work greater than $250k?

  • Evidence of plant and equipment inspections?

  • Excavator safety pin?

  • Any other WHS issues identified?

  • Comment (if "Yes" is selected for above option)

  • Safety Corrective Actions:

SITE COORDINATION, SAFETY AND ACCESIBILITY

  • Fencing and barracades seperating site from public?

  • Minimum 1m pedestrian thoroughfare maintained?

  • Traffic Control Plan (TCP) available?

  • Does TCP caters for Pedestrian and Cyclist?

  • Temporary access ramps provided on site?

  • Noise, dust and sediment control in place?

  • Property access clear from debris - eg use of carpets/ramps with hand rails?

  • City of Sydney signage been displayed?

  • Street signs installed 2.1m above the ground?

  • Site amenities for staff?

  • Any issues identified?

  • Comment (if "Yes" is selected for above option)

  • Other site coordination issues and corrective actions?

  • Comment (if "Yes" is selected for above option)

QUALITY - REFER TO TECHNICAL SPECIFICATIONS

  • Construction complies with the City's Specification?

  • Comment (if "No" is selected for above option)

  • Construction complies with the City's Drawings?

  • Comment (if "No" is selected for above option)

  • Design notes complies with construction?

  • Construction grade?

  • Construction dimensions?

  • Construction materials?

  • Any construction issues identified?

  • Comment if "Yes" is selected for above

AUTHORISATION

  • City Representative

  • Service Provider Representative

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.