Information
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Document No.
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Site Supervisor
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Coordinator
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Service Element
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Conducted on
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Prepared by
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Location
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Persons present.
Site Establishment/ Setup
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Take a site photo
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Site free of housekeeping hazards?
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Environmental controls considered?
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Traffic Control established correctly
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Tcp number:
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Risk Assessment/ Induction completed
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Pre-start checklist completed?<br>Fleet number?
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Fleet number:
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Required PPE/PPC worn by all staff, contractors and visitors on site?
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First aid kit available/accessible/signposted?<br>
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First aid kit fully stocked with contents in date?
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Fire Extinguisher accessible/ signposted/ in date?
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Date extinguisher was last checked
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Electrical Testing completed for electric tools?
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Last Tested?
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Chains and slings have current tag?
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Tag Colour
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Chemicals stored and labelled correctly?
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Truck/Site Shed clean and tidy
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Spill kit available?
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Licence/ tickets current for all workers?
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Any Additional hazards/ comments?
Documentation
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Folder Index Current?
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Risk Assessments current?
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Safe Work Method Statements current?
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Chemical Manifest current?
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Incompatibility report current?
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Safety Data Sheets current?
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Chemical risk assessments current?
Task Observation
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Task/ Procedure
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Document referenced
Task/Step
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Task Details:
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Complying with RA/ SWMS Instructions?
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Comments:
Signoff
- Audit Signoff
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Signed:
