Title Page

  • Project Name / Number

  • Contractor Company Name

  • Conducted on

  • Recorded By

  • Site Address

General

  • Work area clean & tidy?

  • Comments on work area cleanliness

  • Amenities provided for staff?

  • Comments on staff amenities

  • Amenities clean & tidy?

  • Comments on cleanliness of amenities

Site HSE Administration

  • Signage & warning signs in place as appropriate? Consider size, location, legibility, etc.

  • Comments on signage.

  • Are all employees (including subcontractor employees) inducted?

  • Comments on inductions.

Chemicals

  • Chemical Register & MSDS on site?

  • Comments on Chemical Register & MSDS.

  • Are all chemical containers appropriately labelled?

  • Comments on chemical container labelling.

  • Are site storage locations / bunds appropriate?

  • Comments on chemical storage locations / bunds.

  • Are there appropriate spill response kits and other emergency equipment available?

  • Comments on availability of spill response & emergency equipment.

  • Are appropriate risk assessments (relating to chemicals) kept on site?

  • Comments on chemical risk assessments.

  • Are the risk assessments being followed (i.e. appropriate PPE & other risk control measures in use)?

  • Comments on risk controls & PPE.

  • Have contractor/subcontractor staff been trained in the use of chemicals, including for spill response?

  • Comments on training.

Plant & Equipment

  • Visible inspection of plant & equipment.

  • Comments on appearance of plant & equipment.

  • Are plant & equipment operators suitably certified/qualified?

  • Comments on operator training/certification.

  • Are daily inspection checklists in use for relevant plant & equipment?

  • Comments on daily inspection checklists.

  • Is there a system/process/procedure in place to rectify faults identified in plant & equipment?

  • Comments on fault rectification processes.

  • Is plant & equipment kept safe when not in use?

  • Comments on plant & equipment safety when not in use.

  • Are there overhead powerlines in the vicinity?

  • Comments on overhead powerlines.

  • Is all electrical equipment appropriately tested, tagged and in date?

  • Comments on electrical test & tag.

  • Is all lifting equipment appropriately tested, tagged & in date?

  • Comments on lifting equipment test & tag.

Hazard Reporting

  • Is a suitable hazard reporting system in place?

  • Comments on hazard reporting system.

First Aid

  • Are adequate first aid kits available?

  • Comments on first aid kits.

  • Are sufficient employees (including subcontractors) trained in first aid?

  • Comments on first aid training.

  • Are emergency contact numbers displayed clearly?

  • Comments on emergency contact numbers.

Fire Protection Equipment

  • Are fire extinguishers on site & in suitable condition (including compliance with 6 monthly inspections)?

  • Comments on fire extinguishers.

Safe Work Procedures

  • Are relevant work instructions (SWMS, JSA, etc.) on site and in use?

  • Comments on work instructions.

  • Is a work permit system in use?

  • Comments on work permit system.

Incident/Injury Reporting

  • Have any incidents or injuries been reported?

  • Comments on injuries/incidents.

  • Have any incidents/injuries been reported to WorkSafe?

  • Comments on incident/injury reporting to WorkSafe.

  • Have any environmental incidents been reported to EPA?

  • Comments on environmental incident reporting to EPA.

Excavations & Fall Protection

  • Have existing underground services been located?

  • Comments on service proving.

  • Are any trenches greater than 1.5m deep? Are these adequately supported (shoring, shields, etc.)?

  • Comments on trenches greater than 1.5m deep.

  • Is adequate protection in place for trenches less than 1.5m deep?

  • Comments on trenches less than 1.5m deep.

  • Is adequate fall prevention in place to control any potential height safety hazards? This includes trenches greater than 2m deep, raised platforms or equipment, etc.

  • Comments on control of height safety hazards.

  • Are public safety issues adequately controlled? This includes site security fencing, pedestrian & vehicle traffic management, etc.

  • Comments on control of public safety.

PPE

  • Is appropriate Hi-Vis clothing being worn? Is Hi-Vis clothing in good condition?

  • Comments on Hi-Vis.

  • Is long-long clothing being worn? Are long-longs in good condition?

  • Comments on long-long clothing.

  • Is appropriate footwear being worn? Is footwear in good condition?

  • Comments on footwear.

  • Are safety helmets being worn? Are safety helmets in good condition and in date?

  • Comments on safety helmets

  • Are other PPE equipment items available where required (eyewear, hearing protection, gloves, face masks/shields, etc.)? Is this PPE being used? Is this PPE in good condition?

  • Comments on other PPE.

  • Is UV protection available (sunscreen, sun hats, sunglasses, shade, etc.)? Is this UV protection in use?

  • Comments on UV protection.

Site Supervision

  • Is there adequate supervision on site (consider high risk activities, interaction of multiple work crews, proximity to the public, etc.)?

  • Comments on site supervision.

Insurances

  • Have details of Worker's Compensation & Public Liability insurance policies been provided? Are they in date?

  • Comments on insurances.

Environment

  • Are environmental aspects being appropriately managed (refer HSE Management Plan and/or site specific Environmental Management Plan)?

  • Comments on environmental aspects.

Other

  • Provide details of any other relevant outcomes of the Worksite Inspection.

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.