• Project or Contract Name

  • Project # and Contractor

  • Conducted on

  • Prepared by

  • Location

Job Details

  • Job Type

  • Project Manager

  • Contractor

  • Site Supervisor

Site Conditions

  • What are the weather conditions on site?

  • What is temperature on site?

  • What are the site ground conditions.

WHS&E Compliance

  • Are there work crews on site?

  • List Contractors on site

  • Are they wearing appropriate Personal Protective Equipment?

  • Are Permits, SWMS and JSEAs in place

  • Are appropriate Worksite Safety measures being taken? ie. shoring, harnesses

  • Is traffic management required at this site?

  • Are the appropriate traffic control measures in place?

  • What is the WHS status of this site?

  • Is the work site and surrounds in satisfactory condition?<br>ie. clear of debris, rubbish removed

  • Is this site meeting their Environmental Management requirements?

  • Are there any Stakeholder issues ?

Construction/Maintenance of Assets

  • Select discipline/s

  • Are excavation works safe

  • Have all works that are visible been completed adhering to Standards?

  • Is construction/maintenance in accordance with the designs/dwgs?

  • Was any witness/testing conducted today ?

  • Select test

  • Results

  • Overall Compliance Status

  • Discussions/Clarifications/Instructions/Delays

  • Other Comments/Notes:

  • Other Photos:

  • Officer Signature

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.