Title Page

  • Site conducted

Site Office

  • Is the Site Office compliant? (SHE Board, TM board, housekeeping, first aid kit and fire extinguishers, F10)

  • Are LOLER / PUWER / Plant Weekly Checks and Excavation Inspection Reports being completed?

  • Are Permits to Break Ground complete to a good standard? <br>(Service Drawing, Stretch Plan, Identifying Machine/Hand Dug Locations, Armbands, Arc Clothing, etc)

  • Are all operatives signed up to the RAMS?

  • Are Toolbox Talks being briefed and completed?

  • Training / Competency.

  • HAVS

  • First Aider & First Aid Equipment?

High Risk Activities

  • Excavations (Stepped or supported, fenced off etc.)

  • Risk to 3rd Parties (Security fencing, work areas segregated, restricted access etc.)

  • Working around buried services (PTBG, CAT and Genny Scans, Insulated Shovels, Utility dig teams, etc.)

  • Lifting and Lowering Activities (safe lifts, suitable equipment, trained personnel, lift plan where required, restricted areas, etc.)

  • Confined Spaces (Confined Space Permit, harness, tripod, gas metre, emergency escape kit, competent/trained personnel, etc.)

  • Overhead Services. Signs, corridor, goalposts, restricted areas, authorised plant only etc.

Site

  • Bucket Changing Areas / Work Areas / Mixing Areas / Storage Areas (housekeeping etc.)

Environmental

  • Permits to Pump / Watercourses / Fuel Bowser / Spill Kits / Refuelling.

Sign Off Signatures

  • Contracts Manager

  • Select date

  • Site Supervisor

  • Select date

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.