Information

  • Document No.

  • Person taking inspection

  • Date of Inspection

  • Project Name

  • Personnel Attending

  • Add signature

  • Personnel Attending

  • Add signature

  • Personnel Attending

  • Add signature

  • Add signature

  • What area are you auditing?

Environment

  • Have dust control issues been addressed

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Stock piled materials protected

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Storm Water Run Off/ Discharge

  • Silt Control Fencing

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Sediment Control basins

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Storm Water inlet protection

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Protection of water bodies

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Erosion control measures

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • All weather site measures

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Noise

  • Machinery and Equipment

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Hours of operation

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Management of adjoining neighbours

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Vibration controls

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Vegetation

  • Fencing and retained trees<br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Stock pile of topsoil<br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Protection from dust<br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Maintenance of drainage to vegetation<br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Stockpiling material/machinery around three bases <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Waste management

  • Project waste reduction plan <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Subcontractor involvement <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Demolition plan<br><br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Stockpiling material/machinery around three bases <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Record keeping <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Site clean <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Contaminated soil/ waste<br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Paint disposal appropriate <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Segregation of waste <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Stockpiling material/machinery around three bases <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Chemicals

  • MSDS on site<br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Handling and transport acceptable<br><br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Refuelling of machinery SWMS<br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Containers all marked <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Wheel wash – down<br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Concrete equipment wash – down<br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Stockpiling material/machinery around three bases <br><br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Risk Assessment

  • Legal references available <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • All workers inducted onto site <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • SWMS in place for all work activity <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • All workers inducted into SWMS <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Access and egress good

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Fencing secure

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Any security issues <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Caps on bars <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Proper tool use <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Temporary handrail and posts installed as per SWMS <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Housekeeping

  • Compliance

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Records

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Bins available and used <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Barricading in place <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Signage in place

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Power leads suspended <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Access walkway and stairs clear<br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Emergency lighting working <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Emergency exits clear and visible <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Scaffold clear of waste tools etc <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Personal protective equipment

  • Hi viz / safety footwear worn <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • PPE been worn as required by SMWS, signs, MSDS? <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Correct use/good condition<br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Plant and equipment

  • Plantes register up-to-date <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Records of maintenance <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Pre-use sign off <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Daily checklist <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Manufacturers recommendation <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Operator competency

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Electrical

  • RCD on board trip tested <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Register of tagging <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Needs and tools tagged <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Need hooks/stands used

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

First aid/emergency procedures

  • First aid kits in vehicles/site office – stocked <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • First aiders nominated <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Evacuation procedure

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Emergency numbers <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Fire protection <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Fire extinguishers <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Exit signs <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Alarm <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Lines of travel <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Report – incidents/accidents

  • Incident reports completed <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • First aid book completed

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Regulator notified <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Investigation undertaken <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Public protection

  • Site security <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Overhead protection <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Segregation of workplace from public <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Training

  • Task activity training <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Verification of competencies <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Environmental awareness <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Working at Height

  • Perimeter protection

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Mandatorily notices on site noticeboard

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Hand rails in place <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Penetration covered <br>

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • scaffold compliant/checklist done

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Other

  • Permits issued as required

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Methods of consultation effective

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • scaffold compliant/checklist done

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

Manual handling

  • Training

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

  • Work methods appropriate

  • 1 = Stop Work Immediately (Very High or High Risk) 2 = Within 24 Hours (Medium Risk) 3 = Within 7 Days (Low Risk)

  • Contractor responsible

  • Date to be completed by

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.