Daily JSA

• Audit Title

• Job No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Daily Site Inspection

• Inspection carried out at the following time

  Date

Site Entry

• Are all employees aware of company SWMS

  Yes

  No

  N/A

• Are all employees currently listed on the JSA

  Yes

  No

  N/A

• Were all employees that are on site in attendance on this toolbox talk

  Yes

  No

  N/A

• Are all sub contractors currently signed on

  Yes

  No

  N/A

• Are all employees and sub contractors site inducted

  Yes

  No

  N/A

• Are non site specific hazards identified and preventions to consequences put in place

  Yes

  No

  N/A

• Are safety precautions in place to hazards identified

  Yes

  No

  N/A

Site Specific Hazards - Slips/Trips/Falls

• Are there areas where work is to be carried out in which the ground is unstable or slippery

  Yes

  No

  N/A

• Are there areas where work is to be carried out in which there are loose objects or obstacles on ground or to prevent safe working methods

  Yes

  No

  N/A

• Are there areas of deep excavations or steep slopes to carry out work upon

  Yes

  No

  N/A

Acknowledgements

• Assessment carried out by

  Sign

• Name