Title Page

  • Site conducted

  • Select Campus

  • Select Building

  • Select Precinct

  • Select Precinct

  • Maximo /Project Number

  • Prepared by

  • Conducted on

  • Name of Company and Contractor

  • Works Description

1. Contractors

  • Are all staff inducted to be on site and displaying their contractor ID ?

  • Has a Risk assessment/JSA?HAC been completed

  • Are control measure being implemented

2. Working at Heights

  • Are the works at heights

  • Have all risks of fall been identified ?

  • Have all the identified controls been implemented ?

3. Scope of Works

  • Has a Scope walkthrough been completed

  • All scope items agreed

  • Have all colour finished been confirmed

  • Confirmation of choice required

  • Are any PTWs required to complete the works

  • What Permit is required

4.Emergency Response

  • Are the Emergency procedures known to all and documented?

  • Is there available first aid kits for site?

5. PPE

  • Is there adequate PPE for the task?

6. Working Environment

  • Are staff aware of appropriate amenities? (toilets, wash areas, lunch rooms, etc)

  • Is there sufficient lighting for the works?

  • Is there adequate housekeeping?

  • Is there adequate noise

7. Administrative Procedures

  • Have the necessary permits been and available on site ( including any GIS drawings)

  • Have all inductions been completed for all on site

  • Are there adequate Safe Work Method Statements for any high- risk work?

  • Is there a process to change SWMS throughout the works as needed

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.