Daily Work Hazard

• Project Name/ #

• Location
  Address

• Weather Conditions

• Prepared by

• Supervisor in charge

• Conducted on

  Date

• 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

• Take photos of work activities.

  Media

• Summary of work activities:

Emergency Response

• Emergency Response Plan displayed

  Yes

  No

  N/A

• Location of evacuation assembly point:

• Location of first aid kit:

• Sufficient spill kits/ rescue kits as per site plan

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Adequate access lighting in confined spaces

  Yes

  No

  N/A

• Barricades and Signs as required

  Yes

  No

  N/A

• Dust Controls

  Yes

  No

  N/A

• Earth Leakage supplied

  Yes

  No

  N/A

• Fire Extinguisher accessible

  Yes

  No

  N/A

• First Aid Kit Accessible

  Yes

  No

  N/A

• SDS for all chemicals onsite

  Yes

  No

  N/A

• Chemicals safety stored

  Yes

  No

  N/A

• Environmental controls in place, eg. mesh

  Yes

  No

  N/A

• All staff are authorised onsite

  Yes

  No

  N/A

• Manual Handling techniques used for tasks

  Yes

  No

  N/A

• Noise controls

  Yes

  No

  N/A

• Housekeeping, Bins supplied.

  Yes

  No

  N/A

• Rubbish/ Waste Removal plan

  Yes

  No

  N/A

• Correct tools and machinery used for tasks

  Yes

  No

  N/A

• PPE worn and in good condition

  Yes

  No

  N/A

• Required Permits are onsite

  Yes

  No

  N/A

• Trenches secured

  Yes

  No

  N/A

• Equipment inspected with current test & tag

  Yes

  No

  N/A

• Plant and Machinery inspected & maintained

  Yes

  No

  N/A

• Car parking is safe for pedestrians/ emergency access clear

  Yes

  No

  N/A

• Please proceed to the next section.

Potential Hazards

• Are there Potential Hazards Identified (Q/S/E)?

  Yes

  None

• Potential Hazards: (Click "Add Hazard")

Hazard

• Specify Hazard:

• Task:

• Risk Rating:

  Low

  Moderate

  High

  Significant

• Control Measures

• Risk Rating after control measures:

  Low

  Moderate

  High

  Significant

• Is there another potential hazard identified?

  Yes

  None

• Please scroll back and click "Add Hazard".

• Complete the inspection by signing below.

• COMPLETED BY:

  Sign

• 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.

  Sign

• Hours Worked:

• Click + icon to add another staff, if you're done please mark this Audit as complete.

• Is there another potential hazard identified?

  Yes

  None

• Please scroll back and click "Add Hazard".

• Complete the inspection by signing below.

• COMPLETED BY:

  Sign

• 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.

  Sign

• 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:

  Sign

• 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.

  Sign

• Hours Worked:

• Click + icon to add another staff, if you're done please mark this Audit as complete.