Title Page

  • Conducted on

  • Prepared by

  • Location
  • Have all workers been briefed on the site safety plan

  • Is the street clear of any possible incidents?

  • Vehicle parked in a safe place?

  • Are there any dog’s onsite?

  • Will the task involve manual handling, repetitive bending or twisting?

  • Are there any overhead power lines?

  • Has the home occupier been made aware of all onsite hazards?

  • Are power tools to be used?

  • Are hand tools to be used?

  • Is there likely to be any trips/slips hazards onsite?

  • Do you have the correct PPE gear for the job?

  • Will there be any work at height?

  • Will there be any overhead work?

  • Are ladders to be used onsite?

  • Will scaffolding or edge protection be used onsite?

  • Will there be heavy machinery onsite?

  • What hazards are present that have not been covered above?

  • Hazard name

  • Control - what is being done to prevent injuries

  • Hazard name

  • Control - what is being done to prevent injuries

  • Hazard name

  • Control - what is being done to prevent injuries

  • 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.