Title Page

  • Site conducted

  • Location

  • Conducted on

  • Prepared by

  • Also Present

Commitment to Health, Safety and Environment

  • Are company Policies displayed in a prominent location?

  • Do employees have an understanding of the content of the Policies?

  • Have all employees received a HSE Handbook?

  • Have all employees completed the “Message Received” section of the HSE Handbook?

  • Are all employees familiar with Company Incident Reporting procedures?

  • Are incidents reported within 2 hours of the incident occurring?

  • Have all corrective actions from incident investigations been actioned and completed?

  • Have all employees completed all company inductions?

  • Have all employees completed a workplace (Site) induction?

  • Have all staff completed manual handling training?

  • Have Site Manager completed Environmental Handbook and EMS awareness training?

  • Have all staff completed chemical safety training?

  • Have all staff attended training in accordance with their Position Description?

  • Are employees consulted on matters pertaining to health and safety and environment?

  • Are Toolbox Meetings held on a monthly basis (as a minimum)?

  • Is an agenda prepared, register of attendance completed and minutes kept on file?

  • Are the Toolbox Meeting Minutes placed on the Safety Notice Board?

  • Are Hazard Alerts and Safety Solutions placed on the Safety Notice Board?

  • Does the site have at least one ‘environment poster’ accessible to staff and customers?

Hazard Management and Reporting

  • Do all staff know how to report hazards?

  • Are OFI Forms available to all employees?

  • Is the OFI Register up to date and regularly reviewed with no outstanding corrective actions?

  • Are warning signs and visual aids appropriate for the working environment?

  • Are “Out of Service” Tags and “Danger Tags” available for equipment requiring maintenance?

  • Are staff trained on how to use “Out of Service” Tags and “Danger Tags”?

Risk Assessment

  • Has a Site Operational Risk Assessment been completed?

  • Has a Manual Handling Risk Assessment been completed?

  • Have all identified hazards been assessed, control measures implemented using the Hierarchy of Controls Principle?

  • Are company generic SWSPs amended to create site-specific SWSPs?

  • Has a SWSP been undertaken for all activities with inherent risk?

  • Are the SWSP reviews regularly undertaken with staff performing tasks with inherent risks

  • Are SWSPs used as the basis for training new staff?

  • Are SWSPs made available to all employees?

Housekeeping

    Housekeeping
  • Location Reviewed

  • Are materials stacked neatly?

  • Is the work area adequately lit?

  • Are bins available and in use?

  • Is there appropriate signage in place?

  • Are all leads suspended?

  • Are the walkways, stairs and work areas clear?

  • Items that may be affected by strong winds and heavy rainfall are relocated or tied down?

Chemical Safety

    Chemical Safety
  • Location Reviewed

  • Are chemicals correctly segregated?

  • Are SDS available and stored near chemicals?

  • Are SDS reviewed with staff during staff meetings?

  • Are SDS reviewed with staff when developing SWSPs?

  • Is the Spill Flow Chart kept in chemical storage areas?

  • Are chemical eye wash stations provided?

  • Are spill kits and chemical eye wash stations regularly inspected / maintained?

  • Are storage areas bunded?

  • Are staff trained on how to use “Danger Tags” and “Out of Service Tags”?

Manual Handling

    Manual Handling
  • Location Reviewed

  • Are all staff following correct lifting techniques?

  • Are trolleys being used to transport goods?

  • Are items (greater than 5 kg) being stacked on shelves below shoulder height?

  • Is job rotation being undertaken?

  • Have all staff completed manual handling training?

First Aid / Emergency Preparation

    First Aid / Emergency Injury
  • Location Reviewed

  • Has a First Aid kit been provided?

  • Has the First Aid kit been restocked?

  • Is there a First Aid Officer available when required?

  • Is the First Aid kit located in a prominent location?

  • Are evacuation procedures in place?

  • Are emergency contacts displayed?

  • Are there fire extinguisher and fire equipment available?

  • Are evacuation procedures in place?

Muster Point

  • Is there a current Accommodation List contained in the muster point box?

  • Are there hi-vis vests for each warden?

  • Are there hard hats for each warden?

  • Is there a list of Fire Warden duties?

  • Is there a torch and is it working?

  • Is there a spare set of batteries?

  • Is there blank paper/notepads?

  • Are all pens and highlighters working?

  • Is there an Emergency Contacts list?

  • Is there a Megaphone and is it operational?

  • Are 2-way radios charged and operational?

Personal Protective Equipment (PPE)

  • Is the PPE Matrix available to employees?

  • Is PPE made available to employees appropriate for the task being completed?

  • Is PPE being worn correctly?

  • Is the PPE maintained in good condition (verify)?

  • Is the PPE Matrix followed and adhered to?

Maintenance

    Access / Egress
  • Location Reviewed

  • Are access paths clear?

  • Are access paths defined (signage)?

  • Are prohibited areas barricaded and display warning signs?

Dust / Air Quality

  • Is dust watered down or adequately suppressed?

  • Are stockpiles adequately protected from the wind?

  • Is plant and equipment maintained to minimise emissions?

  • Electrical Safety
  • Location Reviewed

  • Are all electrical items (portable and stationary) tagged and tested by a licensed electrician?

  • Is the register of tagging current and up to date?

  • Are residual current devices (RCD) fitted to portable electrical equipment?

  • Are residual current devices (RCD) tested and tagged?

Noise

  • Is plant and equipment maintained?

  • Are site hours observed?

  • Have noisy works been identified?

  • Is hearing protection available?

  • Is hearing protection being used when required?

Plant and Equipment

  • Is plant register current and up to date?

  • Are maintenance records available?

  • Has the Daily Log Book been completed?

  • Do all of the operators possess the appropriate tickets / licences?

Stormwater / Run Off

  • Are silt control fences in place?

  • Are stormwater inlets protected?

  • Are any discharges contained?

Waste Management

  • Is there a Waste Management Plan in place?

  • Are waste contractor records available if required?

  • Are bins for litter / cigarette butts / other available?

  • Are hazardous wastes captured and correctly disposed of e.g. paint sludge / contaminated soil / other as well as according to site’s collection schedules?

  • Is waste currently disposed in the correct bin? Are site grounds kept tidy?

Working at Heights

  • Is the perimeter protected?

  • Are there handrails in place?

  • Are all penetrations covered?

  • Is there a fall restraint / arrest system in place?

  • Is the hazard addressed in SWSPs?

Changes at Site

  • Have any new staff commenced at the site? (inductions, Payroll, SWSP’s, training)

  • Has any new plant, equipment or vehicles been acquired? (manuals, Risk Assessment, SWSP’s, training)

  • Have any structural / workstation changes occurred or commenced? (Hazard Alert, Risk Assessment, SWSP’s, Toolbox Talks, training)

  • Have any new company procedures or Legislation changes occurred? (compliance, review / replace existing SWSP’s, training)

  • Has there been any changes to the Contract or Scope of Works? (communication, Risk Assessment, SWSP’s, training)

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.