Information

  • Client / Site

  • Conducted on

  • COMPLETED BY

  • Location

ELEMENT NO.1 OFFICE AND AMMENTIES

  • Contractor:-

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COMPLIANCE INSPECTION ELEMENT NO.1 OFFICE AND AMMENTIES

  • Appointed persons names / photos displayed i.e. Safety Reps, First Aid Attendants

  • Fire extinguishers available & correctly identified

  • Access to fire extinguishers unobstructed

  • Entry & exits clearly marked

  • Access and egress unobstructed

  • Materials stored correctly

  • Emergency Exit signs installed and working

  • Bins provided & emptied

  • Kitchen area clean and tidy

  • Electrical Equipment in good working order and has current inspection tag

  • Tops of cabinets or shelves beside accessways clear of items that may fall

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COMPLIANCE INSPECTION ELEMENT NO.2 First Aid & Facilities

  • Current first aid equipment list available in cabinet.

  • Contents within use by dates

  • Emergency procedures / phone numbers displayed.

  • Treatments register at facility.

  • Adequate certificated first aid personnel available for all shifts.

  • Facility easily identified.

  • Certificated first aid personnel display green cross on hard hat

  • Emergency Exit signs installed and working

  • Equipment stored correctly

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COMPLIANCE INSPECTION ELEMENT NO.3 Workshop

  • Work areas tidy.

  • Waste containers provided and used.

  • Regular disposal of waste.

  • Walkways unobstructed.

  • Adequate lighting for the work being carried out.

  • Sharp objects covered / protected.

  • Fire extinguishers identified, checked, unobstructed

  • RCD on all electrical equipment

  • Current inspection tag on electrical equipment

  • Tools and equipment stored correctly

  • Guarding fitted to equipment

  • Sparks contained / welding screens used

  • PPE correct for task

  • Materials stored correctly

  • Tools and equipment correct for the task

  • Required PPE available

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COMPLIANCE INSPECTION ELEMENT NO.4 Housekeeping & Access & Egress

  • Materials stacked safely and correctly.

  • Laydown areas defined clean and tidy.

  • Signage erected to identify hazardous storage / disposal area.

  • Signs and barricading erected and maintained around hazard areas.

  • Solid barricading erected and maintained around potential fall areas.

  • Barricading complies with site requirement. ie hard barricading or para webbing.

  • Sharp objects capped ie: star pickets & reo bar.

  • High housekeeping standards maintained.

  • Bin locations prominent, adequate and emptied regularly.

  • Access and egress points clear of obstruction

  • Access to elevated work areas complies with site requirements.

  • Handrails installed on ramps & stairs etc:

  • Sharp edges are covered on walkways/access ways.

  • Ladders are secured, 1 to 4 metre lean, the ladder projects 1 meter above the platform.

  • Areas delineated for vehicle parking / reverse parking.

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COMPLIANCE INSPECTION ELEMENT NO.5 Fall Prevention

  • All fall prevention equipment recorded on register.

  • Current quarterly inspection tag fitted to all fall protection equipment

  • Equipment in sound condition. No visible damage

  • Range of equipment available is adequate for the work scopes and is set up correctly.

  • Equipment inspected prior to use by competent person.

  • JHA’s used in conjunction with high fall potential activity – ie JHA’s written for specific task.

  • Grid mesh permits in use for grid mesh removal.

  • Personnel comply with safety requirements.

  • Personnel trained in the use of equipment.

  • Fall arrest systems installed by competent person.

  • Safety harness stored correctly when not used.

  • Safety harness fitted correctly to personnel ie not loose.

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COMPLIANCE INSPECTION ELEMENT NO.6 Lifting Equipment

  • All lifting equipment recorded on a register

  • Safe working loads marked on all lifting equipment

  • Current quarterly inspection tag or colour displayed

  • Equipment stored appropriately

  • Lifting Equipment has been inspected prior to use and is in good condition

  • Slings adequately protected ie, packing

  • Tag lines used on all loads (16mm natural fibre rope)

  • Lifting equipment used correctly (e.g. Incorrect application - chain blocks back hooked)

  • JHA / Take 5 reflects tasks

  • Person(s) qualified to use equipment

  • PPE correct for task

  • Are materials to be lifted correctly stored

  • Round soft slings not used as head slings or temporary support of pipes etc.

  • Round soft slings not used for lifting other than pipework

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COMPLIANCE INSPECTION ELEMENT NO.7 CRANES

  • Exclusion zone erected around slew area.

  • Outriggers fully extended on timber support.

  • Adequate ground bearing support / level surface clear of excavations.

  • Daily checklist completed / safety devices checked.

  • Crane operators / Riggers communication methods clear.

  • Precautions for lifting overhead in place and known.

  • Daily inspection / Maintenance Logbooks completed by operator.

  • Operators Manual in crane.

  • Lift Log and or evaluation completed by operator

  • Chains removed / secured when travelling

  • Rigger / Dogman carrying out spotters duties as required eg interface with moving load & personnel.

  • Mancage permit in place & complied with.

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COMPLIANCE INSPECTION ELEMENT NO.8 SCAFFOLD

  • Scafftag fitted at all access points and clearly visible

  • Access built to requirements

  • Scaffold within the 30 day inspection period

  • Competent person erecting / modifying / dismantling

  • Where erecting, modifying or dismantling area below barricaded & sign posted

  • Erect / dismantle – Harness & lanyards used correctly

  • Handrail, Midrail & toe board fitted

  • Ladder(s) project 1 mtr above the landing platform

  • Ladder(s) secured

  • All working platforms are fully planked & secured

  • Ladder safety rail fitted to access

  • JHA / Take 5 reflect tasks

  • Scaffold materials stored in a safe manner

  • Where scaffold in use – Materials stored correctly

  • Mesh screen fitted where object may be dislodged

  • Penetrations in platforms/access ways covered/toe boards fitted

  • Swing gates correctly fitted

  • Adequate room on access platform to operate swing-gate

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COMPLIANCE INSPECTION ELEMENT NO.9 ELECTRICAL EQUIPMENT

  • Leads elevated above ground level on Non conductive support/material

  • Lead stands covered in non conductive material

  • Leads not obstructing access and egress ways.

  • Are leads plugs in sound condition.

  • Leads not secured or tied off directly to scaffolding or handrails.

  • Are all connection and plugs clean and fitting correctly.

  • Are handles and guards fitted and in good condition. ie grinders / drills.

  • Are the correct disks for the job being used. ie grinding disk for grinding & cutting disk for cutting.

  • Current quarterly inspection tags fitted to all Electrical equipment..

  • 240V leads not exceeding 30m.

  • Double adapters / Piggy back plugs not used.

  • Are electrical hand tools and machines stored correctly when not in use.

  • Temporary power boxes located clear of hazards and obstructions.

  • Are switchboards correctly labelled

  • Are RCD’s tested and operational

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COMPLIANCE INSPECTION ELEMENT NO.10 MOBILE PLANT

  • Daily pre start inspection checklist completed by operator (EWP’s Forklifts).

  • Faults identified have been signed off.

  • Operator competencies verified / register current (reviewed quarterly).

  • Safety devices fitted – seat belts / fire extinguishers / reverse alarms / machine guards / brakes.

  • Safe working load charts in place and legible.

  • Vehicles and trucks are maintained to manufacturers specification.

  • Operators manual on site and available to operator.

  • Mobile plant being used correctly eg. Use of spotters, not overloaded etc.

  • Flashing lights operational

  • Motion alarms fitted and operational

  • Mobile plant not blocking access ways

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COMPLIANCE INSPECTION ELEMENT NO.11 EMPLOYEE CONDUCT

  • Employee qualified to operate the equipment.

  • Workplace speed limits being complied with.

  • No throwing / dropping tools, equip, material, waste.

  • Working in compliance with site safety requirements.

  • Tools being used are right for the job.

  • Tools are being used correctly.

  • Individual job planning evident.

  • Adequate PPE for the task, is utilised

  • Positive supervisor response to rectification’s

  • Employees exposed to overexertion

  • Exposure to falling objects

  • Employee exposed to falling

  • Employee exposed to being caught between

  • Employee exposed to being struck by object

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COMPLIANCE INSPECTION ELEMENT NO.12 JHA'S/TAKE 5'S

  • Has a JHA or Take 5 been carried out for the task?

  • Is the JHA / Take 5 sufficient for the task?

  • Take 5 form filled out correctly

  • Does JHA reflect the current job steps?

  • Are the hazard controls adequate

  • Was the work group involved in development?

  • Has the work group signed on the JHA?

  • Is the work being carried out in line with JHA / Take 5

  • Has the checklist been used for the development of the JHA

  • Are emergency requirements identified

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COMPLIANCE INSPECTION ELEMENT NO.13 PERMITS /CLEARANCE TO WORK

  • Permit / Clearance current

  • Permit / Clearance and JHA displayed at work location.

  • Permit / Clearance requirements understood by relevant personnel.

  • Personnel complying with Permit / Clearance / procedure requirements.

  • Isolations in place and verified.

  • Positive verification of zero energy.

  • JHA is current and specific to the tasks performed.

  • Personal Danger Tags correctly filled out and in place

  • Permit / Clearance close out requirements are being complied with.

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COMPLIANCE INSPECTION ELEMENT NO.14 PERMITS /CLEARANCE TO WORK

  • Register of substances current and up to date.

  • Access to register and MSDS sheets available to employees

  • Segregated from other works and warning signs displayed

  • Compliance by Personnel with MSDS / JHA & PPE requirements.

  • Emergency equipment adequate and available ie. Spill containment.

  • All containers are correctly labelled

  • Risk assessments available for hazardous substances stored

  • Are risk control measures in place and known by end users

  • Are adequate first aid facilities available at storage area ie Eye wash

  • Are training records available for personnel using or handling hazardous substances.

  • Are Hazardous substances being disposed off correctly

  • 3m clearance maintained around storage area

  • Ventilation adequate to remove and maintain atmospheric levels below exposure limits

  • All packages are closed while not in use

  • Spillage retention measures adopted where containers are opened for transfer

  • Storage of chemicals is such, that spillage cannot affect other chemicals?

  • Does facility meet ADG Minor Storage Classification?<br>• Pkg Group 1 <25L/Kg Pkg Group 11 <250L/Kg Pkg Group 111< 1000L/Kg<br>The same ADG Class must not exceed -<br>• Pkg Group 1 <10L/Kg Pkg Group 11 <125L/Kg Pkg Group 111 <500L/Kg

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COMPLIANCE INSPECTION ELEMENT NO.15 WELDING / HOT WORKS

  • JHA and permit in place for the work being carried out.

  • Fire extinguisher located in close proximity.

  • Sparks / hot metal particles fully encapsulated.

  • Is the correct PPE being worn for the task undertaken.

  • Is the Earth positioned in close proximity to the work.

  • Welding screens and fire blankets in place.

  • Leads / hoses routed in a safe manner.

  • Grinders used accordance with procedures.

  • Is a tin used to collect used welding rod stubs.

  • Cylinders secured, gauges operative, flashback arresters fitted and hoses in good condition.

  • Is the area below the oxy cutting activities correctly bunted.

  • All combustible materials away from the hot work been carried out.

  • Is double eye protection used when welding or oxy cutting.

  • No welding leads stored on top of welding machine.

  • Welding leads and oxy hoses inspected and documented weekly

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COMPLIANCE INSPECTION ELEMENT NO.16 PERMITS /CLEARANCE TO WORK

  • Safe access and egress provide.

  • Rigid guardrails or paraweb around all excavations.

  • Spoil distance from excavation to be equal to depth

  • Valid clearance in place.

  • Excavations deeper than 1.5m – side benches/battered

  • Fumes from Plant / Equipment not entering excavation.

  • JHA in place and specific to task undertaken

  • Flashing lights / reflective tape on barricading erected on roadways and access ways.

  • Barricading maintained and in good condition.

  • Correct PPE being used for the task.

  • Prestart inspection of excavation been conducted.

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COMPLIANCE INSPECTION ELEMENT NO.17 CONFINED SPACE ENTRY

  • Permit. / Clearance is current

  • Permit / Clearance requirements complied with – access, gas monitoring, isolation, house keeping, ventilation etc.

  • Safe work procedures, Relevant JHA in place, MSDS’s, attached to Permit / Clearance and complied with.

  • Scaffolding tagged and within Inspection period

  • Communications in place, suitable and understood by employees

  • Safe access provided – external / Internal

  • Pre-entry checklist -completed

  • Rescue procedure in place

  • Stand by person in place, trained, understands responsibilities

  • Correct signage in place “Confined Space No Unauthorised Entry”.

  • Low voltage lighting installed & functional

  • PPE requirements identified and complied with

  • Rescue equipment in place / available

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COMPLIANCE INSPECTION ELEMENT NO.18 LIGHTING / NIGHTSHIFT

  • Provided for all designated work areas.

  • Provided at all Accesses to designated work areas.

  • Provided at all Accesses to distribution boards.

  • Provided at all Accesses to ablution blocks.

  • Provided at all Accesses to Crib Rooms.

  • Provided for all Stairways to be used.

  • Provided for all NDT work areas.

  • Provided at Excavations where required.

  • Provided on or near EWP in operation.

  • Provided near fire extinguishers in work locations.

  • Provided on roadways / where applicable.

  • Provided in laydown areas / where applicable.

  • Provided in storage yards / where applicable.

  • Provided at office accesses.

  • Provided at car park area.

  • Provided to all scaffolding platforms in use.

  • Employees informed of allowable and restricted access areas.

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COMPLIANCE INSPECTION ELEMENT NO.19 CYCLONE READINESS

  • Has the Contractor been alerted that a cyclone has formed?

  • Is mobile plant and light vehicles stored in defined Laydown areas?

  • Are sea containers closed and secured?

  • Are Offices cyclone ready?

  • Have cyclone meetings been held?

  • Are light vehicles fully fueled, keys in the ignition properly secured?

  • High housekeeping standards maintained.

  • Are bins emptied and securely fastened?.

  • Are materials securely fastened?

  • Has the contractor cyclone plan updated and forwarded?

  • Has relevant personnel information been obtained i.e. phone numbers?

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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.