Information

  • Conducted on

  • Location
  • Prepared by

  • Signature

Health and Safety Checklist

Emergency Response

  • First Aid kits available and restocked

  • "Burns Card" available

  • Trained first aider on site

  • Fire extinguisher in place and in date

  • Water available

Personal Protective Equipment

  • Safety footwear worn

  • Hearing protection worn as required

  • Hand protection worn as required

  • High visibility clothing worn

  • Sun protection used

  • Respirators worn as required

Hazardous Chemicals

  • Safety data Sheets (SDS) avialable

  • Flammable liquids in approved containers

  • Containers labelled correctly

  • Used in approved manner

Plant & Equipment

  • Plant operators trained and qualified

  • Warning devices functioning

  • Pre-start inspections completed

  • Traffic management provisions in place

  • Used in accordance with SOP

  • Exclusion zones adhered to

  • Plant in good condition

Electrical Safety

  • Electrical items tested and tagged

  • Items RCD protected

  • No visible damage

General safety

  • Toolbox talk conducted

  • Contractors signed in

  • General housekeeping neat and orderly

  • SWMS, SOP's, Risk Assessments etc. completed

Environmental Checklist

Dust Management

  • Sprayers operational and being used effectively

  • Dust generated from equipment minimised (only essential plant)

  • Dust producing loads covered

Noise Management

  • Plant running minimised

  • Work conducted during approved hours

  • No excessive noise from plant

Chemicals

  • Chemicals stored securely

  • Spill response items available

  • Containers in good condition

  • Only approved chemicals on site

Waste Management

  • Waste disposed of thoughtfully

  • Reusable waste separated appropriately

  • Litter from crews collected

General Environmental

  • Operations within specified areas

  • Specific environmental plans (if any) adhered to and communicated

  • Plant in good condition. Minimal smoke, leaks, noise or dust

Quality Checklist

  • ITP's in use and completed correctly

  • Specific Quality Plan (if any) adhered to and communicated

  • Communication with client being undertaken

  • Customer or public complaints forwarded to management

  • Hold and inspection points utilised correctly

  • Non-conforming product isolated from use

  • Non-conformances being reported

  • Work only conducted in defined area

  • Sound workmanship

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.