Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

General

  • Are ground conditions suitable for the work being preformed?

  • Waste bins not overflowing and waste correctly segregated?

  • Spill kits in place and stocked?

  • Correct signage and barricading in place?

Safety Systems

  • Are there eye wash facilities?

  • If eye wash bottles are being used, are they in date?

  • Fire extinguishers in place and in date?

Buildings and Containers

  • Access to buildings and containers free from obstructions?

  • Has all electrical equipment in buildings or containers been fitted with current tag?

  • Do all electrical cabinets and boards have a lock fitted?

Ladders, Plateforms and Stands

  • Are all items in safe working order with correct tag?

  • Are all items clean and free of grease and oil?

Vehicles and Aux Equipment

  • Are all vehicles and trailers parked in an orderly fashion?

  • Are all vehicles and Aux equipment fundamentally stable?

Other

  • Are there any other hazards that are not covered above?

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.