Title Page

  • Conducted on

  • Prepared by

  • Location
  • CONTRACT:

  • Contract No:

  • Project No:

  • Contractor

  • QAA -

Day

  • Date

  • Time -

  • Weather

  • Weather Effect on Site Work

Site Activities

  • Add Photos

  • ITP Activity Sign Off's

Personnel On Site

Plant On Site - Hours and Activity

Contractor Evaluation

  • <br><br>

  • Quality

  • Compliance with procedures, standards & specifications

  • Inspection and test plans

  • Non conformances

  • Site inspection and audit outcomes

  • Quality of deliverables

  • Safety

  • Safety culture demonstrated by management e.g. active participation, consultation and compliance

  • Safety culture displayed by personnel (including subcontractors) by compliance with procedures and system

  • Quality of safe job planning e.g. management of contractor’s risk register, JSA’s, SWMS, CTW, change management

  • Site inspection and audit outcomes

  • Adequacy of supervision of personnel and subcontractors

  • Management and response to incidents and hazards (Inc. HPI’s)

  • Environment

  • Compliance with environmental requirements

  • Management and response to incidents and hazards

  • Adequacy of supervision of personnel and subcontractors

  • Site inspection and audit outcomes

Any other Comments

  • QAA Signature

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.