General

  • Site

  • Document No.

  • Prepared by

  • Date

  • Start Time

  • Finish Time

  • Address

Risk Assessment

  • Have all workers been inducted to this site?

  • Are you able to carry out site inspection?

  • Are you in need of traffic control?

  • Located Services (Gas, Electricity, Water, etc.)

  • Is site free from rubbish and dangerous objects?

  • Will you be working in confined spaces?

  • Will you be working at heights?

  • Will you be conducting any excavation?

  • Is a safety helmet required?

  • Is safety footwear required?

  • Is eye protection required?

  • Is hearing protection required?

  • Are sun hats, sunscreen, and sunglasses required?

  • Will you be using any hazardous substances?

  • Do you have a copy of all SDSs used on site?

  • Do you understand the First Aid and PPE requirements of all SDSs?

  • Weather Conditions

Jobs Performed

  • What jobs have you completed?

  • Job

Personel

  • Supervisor

  • Add additional personnel

  • Crew Member

Vehicles

  • What vehicles were used?

  • Vehicle
  • Rego

  • Rego

  • Driver

Incident Register

  • Are there any incidents to report?

  • Indicent
  • Category

  • Who was involved?

  • Details of incident

Site Issues

  • Site Issues

  • Issue
  • Description

  • Supply a photo if nessessary

Client Section

  • Was the job completed to the customer's satisfaction?

  • Are there any future client requests?

Completion

  • Is the Risk Assessment completed?

  • Supervisor

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.