Project Details

  • Project details - building number / room number

  • Work request Number

  • Name of the Job Captain


  • Are all employees signed in ?

  • Are all employees inducted ?

Safe Work Method Statements

  • Use of SWMS
    Have all hazards been identified ?

  • Have Permits been issued ?


  • Equipment Tagged

  • Temporary Power

  • Leads on floor

  • Lockout / Tagout in place

  • RCD protection in use

Tested / Calibrated Equipment

  • Is tested / calibrated equipment required

  • Has equipment been tested / calibrated

  • Does it meet statutory requirements

Hazard Prevention

  • Risk Assessment completed

  • Substance control, Asbestos, Chemicals, Dangerous Goods..etc..

  • Fire precautions in place - isolations, warnings etc..

  • Dust control


  • Signage

  • Barricading

  • Distance from public

  • Site cleanliness

  • Trip / fall hazard

  • Working at heights

  • Scaffolding

  • Ladders

Personal Protective Equipment

  • Safety glasses

  • Hearing protection

  • Footwear

  • Gloves

  • Face shields

  • High Visibility shirt / top




SIGN OFF - Auditor

  • Add signature

SIGN OFF - Contractor

  • Add 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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.