Fifth Elevation

• Client / Site

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

INSPECTION DETALIS

InspectIon Report Issued To

• Recipient's Names

INSPECTION CHECKLIST

Lighting Conditions

• Internal/External Lighting Conditions

  Safe

  At Risk

  N/A

Site Conditions

• Housekeeping/Site Neat & Tidy?

  Safe

  At Risk

  N/A

• Ground conditions - eg: muddy conditions, ground stability

  Safe

  At Risk

  N/A

Waste Material

• Designated Materials Storage Areas

  Safe

  At Risk

  N/A

• Adequate Waste Control Facilities in place eg: Skip/Waste Bins/Wash Out (concrete/paint)

  Yes

  No

  N/A

Air Quality

• Is dust, vapours & fumes being adequately being controlled

  Yes

  No

  N/A

• No Smoking in Enclosed Areas (site buildings/sheds & confined spaces) Is this being adhered to?

  Yes

  No

  N/A

Site Security

• Are the site gates (pedestrian & vehicle access) being closed/locked

  Yes

  No

  N/A

• Site Perimeter Fencing/Hoarding in good order

  Yes

  No

  N/A

Site Access

• Access ways Neat/Tidy & Free of Equipment/Debris

  Safe

  At Risk

  N/A

• Are Passageways & Emergency Accessways Clear

  Yes

  No

  N/A

Site Sheds/Amenities

• Are all site sheds/amenities clean/tidy & well maintained

  Yes

  No

  N/A

Site Services

• Is there sufficient site services (temporary power boards, water points & toilets)

  Yes

  No

  N/A

Sign In Register

• Total Construction & Client Sign In Register being filled in daily

  Yes

  No

  N/A

PPE Compliance

• Is Mandatory PPE Requirements being complied with?

  Yes

  No

  N/A

Noise Control

• Is construction noise being monitored & adequately controlled

  Yes

  No

  N/A

Fall Protection

• Handrails/Protective Barriers/Mesh Required

  Safe

  At Risk

  N/A

• Tripping Hazards

  Safe

  At Risk

  N/A

• Harness Required

  Yes

  No

  N/A

• Correct Use Of Ladders

  Yes

  No

  N/A

• Deep Excavations Control Measures/Boarding Over Holes/Pits/Gaps

  Safe

  At Risk

  N/A

Scaffold Compliance (Mobile & Fixed)

• Installed by Licensed Scaffolder. Does it have the required scaffold tags & signage

  Yes

  No

  N/A

• Is Scaffold Duty Adequate & Safe For Intended Use

  Yes

  No

  N/A

• Scaffolder Users Pre Start Toolbox Talk Conducted

  Yes

  No

  N/A

• Scaffold Inspection Checklist Used Regularly

  Yes

  No

  N/A

• Are exclusion zones In place with adequate signage

  Yes

  No

  N/A

Site Safety Checklists

• Daily/Weekly Site Safety Checklists Being Completed

  Yes

  No

  N/A

Daily Site Diary

• Is the daily site diary being filled in, printed off, signed & filed in the appropriate folder

  Yes

  No

  N/A

Inductions

• Are all site personnel/visitors inducted

  Yes

  No

  N/A

• Are Inductions forms being correctly fill in & registered

  Yes

  No

  N/A

Toolbox Talks

• Are WHS Consultation/High Risk Activity/General Toolbox Talks being conducted

  Yes

  No

  N/A

Risk Management

• Is the Risk Assessment Register up to date

  Yes

  No

  N/A

• Are Work Activity Specific Risk Assessments in place

  Yes

  No

  N/A

1st Aid

• 1st Aid Kit in Place & Adequately Stocked

  Yes

  No

  N/A

Emergency Requirements & Equipment

• Is the Emergency Evacuation Plan in place & up to date

  Yes

  No

  N/A

• Emergency Evacuation Assembly Area Signposted

  Yes

  No

  N/A

• Emergency Equipment in place (siren, fire blanket, fire extinguisher, spill kit)

  Yes

  No

  N/A

Confined Spaces

• Is Confined Space Signage ,Permits, Recovery Equipment & Air Monitoring In Place If Required

  Yes

  No

  N/A

Non Conformances

• Are NCR's being issued appropriately when required

  Yes

  No

  N/A

Injuries

• Are Injuries being registered, reported & investigated

  Yes

  No

  N/A

Electrical Compliance

• Total Construction Electrical Register Up To Date

  Yes

  No

  N/A

• Electrical Compliance ( tagging of all leads, electrical equipment & db's)

  Yes

  No

  N/A

Plant & Equipment

• Is all plant on site inducted & registered?<br>Are the following details being provided, copied & filed;<br>Plant details<br>Licenses<br>Maintenance records<br>Operator licenses<br>Chains/slings/pipes etc records

  Yes

  No

  N/A

• Are surrounding conditions for plant & equipment safe ie: access, ground conditions & overhead factors

  Safe

  At Risk

  N/A

Hazardous Substances & Safety Data Sheets (SDS's)

• Are there any hazardous/ dangerous goods on site & are these stored/ controlled appropriately

  Yes

  No

  N/A

Work Permits

• Are all necessary permits in place & registered.

  Yes

  No

  N/A

Traffic Control (AS1742.3)

• Is the Traffic Management Plan up to date

  Yes

  No

  N/A

• If required is the necessary signage & traffic control personnel in place

  Yes

  No

  N/A

Formwork (must comply to (AS3610)

• Has a Risk Assessment /Checklist been Completed

  Yes

  No

  N/A

• Are Formworkers Competent (Ticketed)

  Yes

  No

  N/A

Site Management Plans

• Are the Site Safety, Site Management, Environmental Management & Waste Management Plans on site & up to date

  Yes

  No

  N/A

Other Observations

• ADD DETAILS HERE IF ANY

• ADD PHOTOS HERE IF NECESSARY

  Media

Conclusions & General Recommendations

• Work to be immediately implemented to rectify the above defects to make the site safe as soon as possible

Sign Off

• On Site Representative Signature

  Sign

• Author's Signature

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