Title Page

  • Conducted on

  • Prepared by

  • Document Number

Contractor Details

  • Company

  • ABN

  • Address

  • Contact Number

  • Key Contact

  • Email

Item

Management System

  • Does your company have documented WHS Policy Statement?

  • Does your company have documented WHS management system?

  • Are your WHS management system or processes compliant with WHS Legislation and other applicable legislation, Codes of Practice, and any technical standards?

  • Does your company have up-to-date third-party accreditation for OHS / WHS Management Systems (ISO 45001 / 4801)?

Insurances

  • Does your company have up-to-date worker’s compensation insurance?

  • Does your company have up-to-date professional indemnity insurance?

  • Does your company have up-to-date public liability insurance?

  • Does your company have up-to-date insurances on all plant, equipment, and motor vehicles?

Competencies

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

  • Trade license (as applicable for work)

  • Qualifications (as applicable for work)

  • Memberships (as applicable for work)

  • High risk licenses/tickets (as applicable for work)

Plant & Equipment

  • Is all plant, machinery and equipment fit for purpose, considering all legislative, industry and project requirements?

  • Has all plant been maintained in line with legislative and manufacturer specifications?

  • Has all plant and equipment been fitted with safety devices (if required) (e.g., flashing lights, reverse beepers, emergency stops)?

  • Is there a procedure for all equipment to be inspected daily or prior to use (e.g., daily pre-start inspections)?

  • Are you adequately qualified, experienced, and registered to conduct work you are tendering / applying for?

  • Are SWMS in place and current as applicable to this work?

Work Procedures & Personnel

  • Does your company have documented work procedure/s (SWMS, JHAs or SWPs) for the task/s to be performed?

  • Are all personnel to be involved in the contracted works competent and do they hold the necessary qualifications, licences, and inductions?

Health & Safety Performance

  • Do you have any outstanding Regulator notices or actions?

  • Do you have any current common law claims for work health and safety?

  • Do you agree to comply with WHS and related policies and procedures as required for work?

Fit for Work

  • Are your workers fit for work and have no unmanaged health concerns affecting fitness?

  • Do you have a Drug and Alcohol Policy that applies to work with your organisation and fitness of workers?

  • First Aid & Emergencies

  • Will you have adequate number of First Aiders on site (1per25 workers minimum )

  • Do First Aiders have access to the necessary First Aid equipment?

  • Do you have procedures for:<br>• Evacuation, and<br>• Medical Treatment?

Approval to work as Contractor

  • Date Approved

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.