Form H&S 3.1: Daily Worksite Hazard Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Site:
  Address

A. Access

• 1. Visitor Access.

  Yes

  No

  N/A

• 2. Entry Limits.

  Yes

  No

  N/A

• 3. Access Signage

  Yes

  No

  N/A

• 4. Yards and Walkways Clear.

  Yes

  No

  N/A

B. Buildings

• 1. Good Lighting.

  Safe

  At Risk

  N/A

• 2. Floor Area Surfaces

  Safe

  At Risk

  N/A

• 3. Exits are Clear and Labelled

  Safe

  At Risk

  N/A

• 4. Passages/Stairs clear

  Safe

  At Risk

  N/A

C. Working at Heights

• 1. Appropriate Safety Harness

  Yes

  No

  N/A

• 2. Appropriate Lanyard

  Yes

  No

  N/A

• 3. All Gear is Current

  Yes

  No

  N/A

• 4. Rescue Plan is in place

  Yes

  No

  N/A

C. Working at Heights

• 1. Appropriate Safety Harness

  Yes

  No

  N/A

• 2. Appropriate Lanyard

  Yes

  No

  N/A

• 3. All Gear is Current

  Yes

  No

  N/A

• 4. Rescue Plan is in place

  Yes

  No

  N/A

D. Damaged Equipment

• 1. Hand/Power Tools

  Safe

  At Risk

  N/A

• 2. Ladders/Trestles

  Safe

  At Risk

  N/A

• 3. Scaffolding/Plant

  Safe

  At Risk

  N/A

• 4. Guards/Barriers/Handrails

  Safe

  At Risk

  N/A

E. Electrical

• 1. Condition - Plugs and Leads

  Safe

  At Risk

  N/A

• 2. RCD Used

  Yes

  No

  N/A

• 3. Faulty Equipment Labelled

  Yes

  No

  N/A

• 4. All Electrical Equipment Tagged

  Yes

  No

  N/A

F. Fire Safety

• 1. Extinguishers Tested and Current

  Yes

  No

  N/A

• 2. Evacuation Procedure/Plan

  Yes

  No

  N/A

• 3. Hot Work Permit

  Yes

  No

  N/A

• 4. 1/2 Hour Safety Rule

  Yes

  No

  N/A

G. Personal Protection

• 1. Hands/Feet

  Safe

  At Risk

  N/A

• 2. Ears/Eyes/Breathing

  Safe

  At Risk

  N/A

• 3. Hard Hats

  Yes

  No

  N/A

• 4. Hi-Viz Vests

  Yes

  No

  N/A

H. Hoist, Cranes and Lifting

• 1. Cranes, Hoist Tested and Current

  Yes

  No

  N/A

• 2. Strops/Chains Tagged and Current

  Yes

  No

  N/A

• 3. Load Limits Adhered to

  Yes

  No

  N/A

• 4. Crane Driver Inspection Sheet

  Yes

  No

  N/A

I. Machines

• 1. Guards and Barriers

  Safe

  At Risk

  N/A

• 2. Wear and Tear

  Safe

  At Risk

  N/A

• 3. Lock-out System

  Yes

  No

  N/A

• 4. Current Test Certification

  Yes

  No

  N/A

J. Scaffolding

• 1. Certified

  Yes

  No

  N/A

• 2. Secure

  Safe

  At Risk

  N/A

• 3. Ladders Tied Off

  Safe

  At Risk

  N/A

K. Environment

• 1. Noise

  Safe

  At Risk

  N/A

• 2. Lighting

  Safe

  At Risk

  N/A

• 3. Ventilation

  Safe

  At Risk

  N/A

• 4. Vibration

  Safe

  At Risk

  N/A

L. Emergency Care

• 1. First Aid Equipment

  Yes

  No

  N/A

• 2. First Aid Training

  Safe

  At Risk

  N/A

• 3. Clean Facilities

  Safe

  At Risk

  N/A