Title Page

  • Site conducted

  • Conducted on

  • Contractor firm

  • Observer (Name)

  • Task Observed

Checklist

  • Where the answer to a question or a number of questions is No, or if other deficiencies observed, ensure Corrective Actions are put in place.

    For serious deficiencies STOP work until safe to proceed.

  • Have all the contractor’s employees and subcontractors signed in and been inducted?

  • Does contractor have a Job Safety Analysis (JSA) available or Safe Work Procedures for all physical work performed?

  • Are the safety controls identified in the JSA in use, for example personal protective equipment and signage?

  • Are up-to-date Safety Data Sheets (SDSs), within five years from the date of issue, available for all chemicals brought on site?

  • Are the contractor’s tools and equipment appropriate for the task? For example, metal ladders must not be used for any electrical work.

  • Is the portable electrical equipment tested and tagged and in good condition? (i.e. look for damaged leads, exposed wires)

  • Is the portable electrical equipment used in conjunction with a residual current device (RCD) (i.e. safety switch)?

  • Are contractors using their own plant, equipment and tools, or if using SHV equipment they have, they were given authorization?

  • Do the contractor’s employees keep the workplace clean, in good order and secure for staff and contractors?

  • Do the contractors have relevant licenses available?

  • Discussion Comments:

  • Any required corrective actions:

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