Construction Site Visit Log - PMF-203v2

• Project or Contract Name

• Project # and Contractor

• Conducted on

  Date

• Prepared by

• Location
  Address

Job Details

• Job Type

  WMR

  S/Rehab

  L/Div

  PMP

  M/Proj

• Project Manager

• Contractor

• Site Supervisor

Site Conditions

• What are the weather conditions on site?

  Fine/Sunny

  Raining

  Overcast

  Thunderstorms

  Extreme Heat

• What is temperature on site?

• What are the site ground conditions.

  Dry & Firm

  Wet & Slippery

  Dusty

WHS&E Compliance

• Are there work crews on site?

  Yes

  No

• List Contractors on site

• Are they wearing appropriate Personal Protective Equipment?

  Yes

  No

  N/A

• Are Permits, SWMS and JSEAs in place

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is traffic management required at this site?

  No

  Yes

• Are the appropriate traffic control measures in place?

  Yes

  No

• What is the WHS status of this site?

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

• Is this site meeting their Environmental Management requirements?

  Yes

  No

  N/A

• Are there any Stakeholder issues ?

  No

  Yes

Construction/Maintenance of Assets

• Select discipline/s

  Select Civil Pipelay Mechanical Electrical SCADA

  • Civil
  • Pipelay
  • Mechanical
  • Electrical
  • SCADA

• Are excavation works safe

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Was any witness/testing conducted today ?

  Yes

  No

• Select test

  Hydro

  Compaction

  Weld-NDT

  Materials

  Other

• Results

  Pass

  Fail

• Overall Compliance Status

  Compliant

  NCR

  CAR

  N/A

• Discussions/Clarifications/Instructions/Delays

• Other Comments/Notes:

• Other Photos:

  Media

• Officer Signature

  Sign