Title Page

  • Project Name

  • Site Address
  • Principal Contractor Details

  • Principal Contractor Name

  • Construction Manager Name

  • Construction Manager Contact No

  • Construction Manager Email

  • Construction Manager

  • Conducted on

  • Assessment Team Leader

  • Lead Assessor / Client Agent

  • Assessment Team

  • Any additional assessment team members?

  • Additional Persons Name

  • Additional Persons Designation

  • Additional Persons Signature

1. Principal Contractor & Contractors

  • Copy of construction work permit in place.(Where applicable)

  • Work permit number displayed at main entrance of construction site.

  • Notification of construction work to DOL. (Where applicable)

  • Client H&S specification available & correct

  • Letter of good standing with compensation fund/insurer.

  • Health and Safety Plan based on client specs.

  • EHS File with necessary documentation available on site.

  • Subcontractor/s appointed in writing, in good standing with compensation fund, has necessary resources and competencies to perform safely, H&S plan and file checked and approved by principal contractor

  • Valid medical certificate of fitness for all employees.

2. Appointments & Competency

  • Designated Employer

  • SHE Representatives (more than 20 employees

  • Chairperson of SHE committee

  • Incident investigator

  • First aid provider

  • Competent person for machinery supervision

  • Assistant machinery supervisor

  • Principal Contractor

  • Subcontractors appointments

  • Construction Manager (full-time)

  • Assistant Construction Manager

  • Construction Safety Officer

  • SACPCMP Registration No

  • Assigned to site on a full time basis

  • Number of visits per month

  • Construction Supervisor

  • Assistant Construction supervisor

  • Competent person to do Risk Assessment

  • Competent person to prepare the Fall Protection Plan

  • Competency of roof erectors

  • Temporary works designer

  • Temporary works inspector

  • Excavation work supervisor

  • Competent person in the use of explosives during excavation

  • Demolition work supervisor

  • Demolition of asbestos contractor registration

  • Competent person in the use of explosives during demolition

  • Scaffold supervisor

  • Suspended platform supervisor

  • Competency of suspended platform erectors, operators, inspectors

  • Suspended platform inspector/tester

  • Rope access supervisor

  • Rope access operators competent and licensed

  • Material hoist operator

  • Material hoist inspector

  • Bulk mixing plant supervisor

  • Bulk mixing plant operator

  • Explosive actuated fastening device user

  • Tower crane supervisor

  • Tower crane operators

  • Lifting Machinery Operator

  • Lifting Machinery/tackle inspector

  • Construction vehicles & mobile plant operators (copy of drivers licence must be on file.)

  • Temporary electrical installation controller/inspector

  • Stacking and storage supervisor

  • Fire equipment inspector

  • Fire equipment users

  • Hazardous Chemical Substances Co- coordinator

  • Emergency co-ordinator

3. Risk Assessments

  • Client Baseline Risk Assessment on file

  • Contractor Risk Assessment on file (hazards & risk s identified, analysed & evaluated; control measure, monitoring & review plan)

  • Employees informed, instructed and trained on risk assessment (proof on file)

  • Subcontractors informed on risk assessment (proof on file)

  • Record of PPE issuing and inspections thereof, as determined by risk assessment.

4. Work at Heights

  • Fall protection plan on file

  • Medical fitness of employees working at height

  • Fall prevention and or fall protection equipment provided and Inspection/maintenance records

  • Certificate of system design and operational compliance plan for suspended platforms.

  • Inspection and performance tests records of suspended platforms

5. Lifting Equipment

  • Inspection and maintenance records of lifting machinery.

  • Method statement for use of tower cranes.

6. Construction Vehicles & Mobile Plant

  • Inspection records of vehicles/mobile plant

  • Road-worthiness certificates for vehicles/plant travelling on public roads

7. Structures & Temporary Works

  • Structure design drawings available

  • Temporary works drawings pre-approved by temporary works designer

  • Structure inspection/examination records on file.

8. Excavation & Demolition

  • Records of excavation inspections

  • Engineering survey and demolishing method statement of the structure to be demolished

  • Structural integrity inspections during demolition

  • Method statement for demolition using explosives

  • Waste disposal certificates/records of safe disposal.

9. Electrical Installation & Electrical Machinery

  • Weekly Inspection records of electrical installations

  • Daily pre-use inspection records of electrical machinery

  • Certificate of approval for electrical machinery in hazardous locations.

  • Inspection and testing of electrical machinery in hazardous locations

  • Certificate for electric fence system

  • Proof of registration as an approved electrical installations inspection authority

  • Proof of annual registration as electrical contractor

  • Certificate of Compliance and a test report for electrical installation.

10. Tools & Equipment

  • List of tools/equipment to be used.

  • Inspection records of tools/equipment

  • Portable electrical equipment is in good condition and inspected.

  • Portable electrical lights is in good condition and inspected

11. Hazardous Chemical Agents

  • Proof of employee training on HCSR and HCS handling requirements

  • Procedure in case of emergency involving HCS and proof of communication thereof.

  • HCS risk assessment

  • Materials Safety Data Sheets available

  • 2 yearly examination and tests of engineering controls for HCS, by AIA.

  • Safe disposal certificates of HCS waste

  • Safe storage facilities for HCS in place.

12. Training, Awareness & Induction

  • Contractor Induction syllabus and proof of induction

  • Relevant OHS training records

13. Other Records

  • Scope of work clearly defined

  • PPE Issuing records

  • Incident records

  • Toolbox talks

  • First aid box inspection

  • Copy of the OHS Act

  • OHS policy

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.