Page 1: Initial questions

  • Conducted on

  • Project Name

  • Prepared by

  • Manager/ Supervisor

  • Team Members

  • Location
  • Task for the day:

Safety Management

  • First Aid facilities displayed and available?

  • First Aid bag/kit fully stocked?

  • Daily Pre-Start filled out and signed?

  • Adequate fire extinguisher available?

  • Fire extinguisher expiry date?

  • Emergency Site plan available and well understood?

  • Are the team informed about incident reporting?

General Safety Requirement

  • Everyone wearing the correct and required PPE?

  • Housekeeping on site to an acceptable level?

  • Are materials stacked and stored safely?

Site Accommodation

  • Are site containers tidy?

  • Are toilets available and clean?

Site Vehicles/Mobile Plant

  • Are operators/drivers licensed and competent?

  • Seatbelts being worn?

  • All trucks parked in a V-Drain or by a bund or chocked?

  • Are reversing alarms operating correctly?

Excavations

  • Underground services located/marked?

  • Trench less than 1,5m deep?

  • Safe access to the trench?

Recommendations

  • Any recommendations (Team)?

  • Any recommendations (H&S)?

Signature

  • Add signature

  • Add 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.