Title Page

  • Company

  • Inspected by

  • Conducted on

  • Location

Site Control

  • Hazard board and signage up-to-date

  • Environmental plans/measures

  • Toolbox talk last date

  • Safety inductions for all on site

  • Safety notice board current

Site Facilities

  • Offices clean, adequate & good lighting

  • Smoko sheds – clean, potable water

  • Tool/equipment sheds adequate

  • Toilets – clean, washing water

General Site Tidiness and Accessways

  • Clear, safe access to work areas

  • Stairways and accessways clear

  • Hoardings/fence and gates secure

  • Loose materials secure from wind

Personal Protective Equipment

  • Signage displayed and legible

  • Hardhats being worn

  • Correct footwear being worn

  • Glasses/ear muffs/vests/masks used

  • Hazard evaluations been performed and certified

  • Protective equipment adequate for exposure

  • Employees issued with PPE where needed

  • PPE being used and are in good condition

  • Inspections being conducted before and after use of PPE

  • Adequate maintenance and sanitary storage available and used

  • Adequate fall protection provided

  • Eye protection available

  • Face protection (glasses, goggles, shields) available and are in good condition

  • Hearing protection available

  • Respirators and masks provided

  • Respirators used to protect against harmful dust, asbestos, sand blasting, and welding (lead, paint, and galvanized zinc or cadmium)

  • Head protection available

  • Hand and foot protection available

  • Physical exams performed as required

Fire Extinguishers and Fire Protection

  • Fire extinguishers fully charged, operable, and kept in designated places at all times

  • Portable fires extinguishers inspected monthly

  • Employees are expected to use fire extinguishers, they've been trained in the general principles of fire extinguisher use and hazards involved with the incipient stage of firefighting

  • Fire alarm system tested annually

Emergency Evacuation

  • Written emergency and fire prevention plans made available to building occupants for review

  • Occupants been trained in emergency evacuation of the building

  • Emergency drills conducted on a routine basis

Cranes/Hoist/Lifting Equipment

  • Proper lift assessment plan done

  • Crane certification current

  • Slings/chains certified

  • Operator procedures in place

  • Inspections being done

  • Man cage available

  • Emergency plan in place

Compressed Air Equipment

  • In good condition

  • Appropriate guards fitted

  • Trained user

Excavations

  • Correctly shored

  • Access controlled

Hot Works

  • Hot work permits being issued

  • Fire extinguishers on hand

  • Operators using PPE

Electrical Equipment/Plant

  • Main board lockable/weatherproof

  • Current tagged and damage-free leads

  • Current tagged plant

  • Current tagged lifeguards

  • Leads safely placed

  • Electrical equipment/plant – good condition

  • Electrical equipment/plant – appropriate guards on plant

  • Adequate temporary lighting

Scaffolding – Planks Secured

  • Notifiable weekly Scaftag/current

  • Handrails/mid-rails

  • Toe boards

  • Platforms

  • Ladders/stairs

  • Base sound

  • Work platforms clear

  • Platforms trip free

  • Planks tied down

  • Headroom clear

  • Ties/bracing adequate

Ladders

  • Good condition

  • Secured top and bottom

  • Stays to step ladders

  • Working 2 steps down

Completion

  • Additional recommendation

  • Full Name & Signature of Inspector

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.