Title Page
-
Project Name/ #
-
Location
-
Weather Conditions
-
Prepared by
-
Supervisor in charge
-
Conducted on
Details/ Emergency/ Checklist
-
Instructions:
-------------------------------------
1. Fill out the details needed and answer "Yes", "No", "N/A" for the questions below.
2. Add photos and notes by clicking on the paperclip icon.
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.
Details
-
Summary of work activities:
Emergency Response
-
Location of evacuation assembly point:
-
Location of first aid kit:
-
Sufficient spill kits/ rescue kits as per site plan
-
Location of emergency equipment / fire extinguisher:
-
Nominated First Aider name:
-
First Aider’s phone number:
-
Closest Hospital:
-
Emergency phone number/s:
-
Location of SDS:
Daily Site Inspection Checklist
-
Access clear, paths are free from trip hazards
-
Adequate access lighting in confined spaces
-
Barricades and Signs as required
-
Dust Controls
-
Earth Leakage supplied
-
Fire Extinguisher accessible
-
First Aid Kit Accessible
-
SDS for all chemicals onsite
-
Chemicals safety stored
-
Environmental controls in place, eg. mesh
-
All staff are authorised onsite
-
Manual Handling techniques used for tasks
-
Noise controls
-
Housekeeping, Bins supplied.
-
Rubbish/ Waste Removal plan
-
Correct tools and machinery used for tasks
-
PPE worn and in good condition
-
Required Permits are onsite
-
Trenches secured
-
Equipment inspected with current test & tag
-
Plant and Machinery inspected & maintained
-
Car parking is safe for pedestrians/ emergency access clear
-
Please proceed to the next section.
Risk Identification
Potential Hazards
-
Are there Potential Hazards Identified (Q/S/E)?
-
Potential Hazards: (Click "Add Hazard")
Hazard
-
Specify Hazard:
-
Task:
-
Risk Rating:
-
Control Measures
-
Risk Rating after control measures:
-
Is there another potential hazard identified?
-
Please scroll back and click "Add Hazard".
-
Complete the inspection by signing below.
-
COMPLETED BY:
-
STAFF SIGN OFF: (Click "Add Staff")
Staff
-
I UNDERSTAND MY ROLE AND SAFETY OBLIGATIONS AND SHALL COMPLY WITH THE SAFETY, HEALTH AND ENVIRONMENTAL WORK METHOD STATEMENT.
-
Hours Worked:
-
Click + icon to add another staff, if you're done please mark this Audit as complete.
-
Is there another potential hazard identified?
-
Please scroll back and click "Add Hazard".
-
Complete the inspection by signing below.
-
COMPLETED BY:
-
STAFF SIGN OFF: (Click "Add Staff")
Staff
-
I UNDERSTAND MY ROLE AND SAFETY OBLIGATIONS AND SHALL COMPLY WITH THE SAFETY, HEALTH AND ENVIRONMENTAL WORK METHOD STATEMENT.
-
Hours Worked:
-
Click + icon to add another staff, if you're done please mark this Audit as complete.
-
Complete the inspection by signing below.
-
COMPLETED BY:
-
STAFF SIGN OFF: (Click "Add Staff")
Staff
-
I UNDERSTAND MY ROLE AND SAFETY OBLIGATIONS AND SHALL COMPLY WITH THE SAFETY, HEALTH AND ENVIRONMENTAL WORK METHOD STATEMENT.
-
Hours Worked:
-
Click + icon to add another staff, if you're done please mark this Audit as complete.