Title Page

  • Site conducted

  • Site Supervisor

  • Date & Time of Assessment

  • Assessor

  • Job Address
  • INSTRUCTIONS
    _______________________________________________
    1. Answer "YES," "NO" "or "N/A" on the questions below.
    2. Add photos and notes by clicking the Add Notes and Add Image buttons below each questions.
    3. To add a Corrective Measure click on the Add Action button below each questions and 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.

SAFE WORK CHECKLIST

  • Are all trades on site practicing appropriate hygiene practices?

  • Are YOU ensuring you are complying to Dome and State & Federal Government guidelines to help prevent the spread of Covid -19? i.e - Social distancing & - Practicing good hygiene.

  • Are ALL TRADES ensuring they are complying to DomeLangford Jones Homes and State & Federal Government guidelines to help prevent the spread of Covid -19? i.e - Social distancing & - Practicing good hygiene.

  • Have all trades on site completed the "Site Induction" prior to commencing work? This is option 2 on the QR code on the Coordination Plan Sign. This must be done on their first day working at a new site.

  • Is there a Dome "Coordination Plan" sign on site and correctly filled out?

  • Is there a Dome Building/Adviertising sign on site and correctly filled out?

  • Is the fence locked if the site is vacant & is it still doing its job in restricting access to pedestrians?

  • Does the site bin have space for following trades rubbish?

  • Is the nature strip free of any builing marterials located outside the building premisis?

  • Is the surrounding area free from any tripping hazards or any other hazards that could pose a threat to pedestrians or neighbours?

  • Do all trades onsite have a signed copy of relevant SWMS filled out?

  • Are all trades conducting work in a safe and effective manner?

  • Is there appropriate fall protection where required? i.e. Guardrails, Scaffolds, Stairvoid protection etc.

  • Is all fall protection installed correctly to eliminate the potential of falling?

  • Is the site clean and clear of any tripping hazards?

  • Are all power tools on site tagged and tested?

  • Have the RCD's in the meter box(s) been tested within the last month?

  • Are all trades wearing appropirate PPE for the works they are conducting?

  • Is the site free from any hazardous substances located on site? i e. Asbestos, Acids etc

  • Are the noise level on site being kept to a satisfactory level that is considerate to neighbours?

  • Are work areas safe from protruding sharp edges or objects?

  • Is there safe access and egress in high trafficed areas?

  • Are there adequate amendities on site? i.e. toilet/toilet paper

  • Any additional comments / hazards identified?

COMPLETED BY

  • Assessor's Name & 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.