Title Page

  • Contractor Business Name

  • Contractor Site Supervisor Name

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Works being undertaken

Part 1. Contractor Work Site WHS Documentation

  • WHS documentation required for the job is on site and readily available.

  • Does the contractor have a Site Specific Risk Assessment ?

  • Does the contractor have a Site Specific Safe Work Method Statement ?

  • Have all workers been Inducted onto site ?

Part 2. Contractor Work Crew Licences

  • Do all workers have a General Construction Induction Card (White Card) ?

  • Do all plant operators have the appropriate licenses / high risk work licenses ?

Part 3. Contractor Plant and Equipment

  • Does the contractor have mobile plant on site ?

  • Have Pre-Start Checklists been completed for plant items on site ?

  • Is the equipment on site suitable for the job ?

Part 4. Site Works

  • Does site have appropriate signage and barricading ?

  • Contractor's traffic control is set up in accordance with the Traffic Guidance Scheme.

  • Is the Traffic Guidance Scheme readily available for viewing ?

  • Where traffic control is not required - have safety and advance warning signs have been put in place ?

  • Are work processes proceeding in accordance with Site Specific Risk Assessment and Site Specific SWMS ?

  • Is PPE being won in accordance with any site rules, plant requirements, risk assessment and SWMS ?

Part 5. Contractor Insurances & Safety Systems

  • Is the contractor listed on Conserve ?

  • Does the contractor have current a Workers Compensation Policy ?

  • Does the contractor have Public Liability Insurance ($20 million and above)

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.