Title Page

  • Location/Project/Job

  • Prepared by

  • Location
  • Conducted on

1. Working Area

  • Tidy and free of hazards?

  • Risks to other workers controlled as appropriate to the work?

  • Means of access safe and appropriate for the work?

  • Suitable barriers in place to prevent falls (persons/materials)?

  • Materials stored in safe manner?

2. Tools and Equipment

  • Appropriate tools available for the task?

  • Toots and equipment in good condition/ maintained/inspected?

  • Power tools of correct voltage (110v)?

  • Hazardous tools effectively controlled (in use and storage)?

  • Operative can demonstrate inspection procedure?

  • Suitable fire extinguishers available. Tested/in good condition?

3. Personnel

  • Only persons of known competence employed on the work?

  • Appropriate personal protective equipment available / in use Hard Hats / Footwear/ Eyeshields / Respiratory Masks /Gloves?

  • Following safe working practice?

  • Operative aware of and understands company H&S Policy?

  • Neat and tidy working area?

4. Documentation and signage

  • Statutory notices displayed /FlO forms for CDM Notifiable projects?

  • Safety plans (CPP), method statements, risk assessments, COSHH, available, and communicated?

  • Permits to work required/in use?

  • Is all COVID19 Signage displayed?

  • PPE available and used correctly?

Sign off

  • Any other comments or feedback?

  • Inspector's full name and 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.