Title Page

  • Site name

  • Conducted on behalf of ACSL

  • Prepared by

  • Location
  • Weather Condition

Site activities

  • What time did work start ?

  • Operatives on site

  • All workers had the required PPE on site today?

  • First Aider on site?

  • Were all safety protocols followed today on site?

  • Do you have any Health & safety issues on Site?

  • Mewps or Plant (crane) machinery used on site today?

  • Have there been any Near misses or any accidents reported today?

Elevations

  • North

  • East

  • West

  • South

Segregation/Fire exit

  • Are the barriers in place ?

  • Are the walkways clearly

  • Is the Fire exit marked and clear of any obstructions?

Exclusion Zones

  • Are Exclusion Zones in Place?

  • Are exclusion zones signs in Place ?

  • Is the SeverSafe in place ?

Hoist &Loading Platform

  • Is the materials hoist operational ?

  • Is the person hoist operational?

  • Is the loading platform ready ?

House Keeping

  • Are materials stored properly?

  • Is working area cleaned at the end of shift?

Deliveries

  • What Delivery received?

Tower Crane

  • Tower Crane winded off?

  • Tower Crane broken down?

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.