Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Critical Risk Areas

1.0 Working at Heights

  • 1.1 Safety harness worn and used correctly where required?

  • 1.2 Open holes and unprotected edges hard barricaded?

  • 1.3 Safety nets installed where required?

  • 1.4 Workers use safe means of access e.g. ladder, EWP, scaffold etc.

  • 1.5 Scaffold built to standard?

  • 1.6 Scaffold inspected weekly and tagged accordingly?

  • 1.7 Scaffold inspected by a competent person (competency of scaffold inspector verified)?

  • 1.8 Housekeeping maintained on scaffold platforms / landings (safe access and egress)?

  • 1.9 Ladders of commercial grade and used correctly?

  • 1.10 Temporary work platforms have guard rails installed?

  • 1.11 Temporary work platforms built to OEM spec?

2.0 Lifting Operations

  • 2.1 Rigging and lifting gear in good condition with current inspection?

  • 2.2 Lifting area barricaded / flagged / coned off?

  • 2.3 Tag lines used to control the load?

  • 2.4 No overhead lifting?

  • 2.5 Lift plan in place for big and/or complex lifts?

3.0 Heavy Machinery and Excavations

  • 3.1 Excavations shored and braced where required?

  • 3.2 Edge protection around open excavations?

  • 3.3 Safe access and egress provided?

  • 3.4 Equipment operators licensed to operate machinery?

  • 3.5 Equipment log books available and up to date?

  • 3.6 Equipment inspected daily prior to use?

  • 3.7 Services identified and controls in place to prevent contact / damage?

  • 3.8 Spotters used during earthworks activities?

Keeping Healthy

4.0 Hazardous Substances, ACM and Silica Dust

  • 4.1 Hazardous substance register in place?

  • 4.2 MSDS's in place for all hazardous substances on site?

  • 4.3 Quantities kept to an 'in-use' amount?

  • 4.4 Spill kit available?

  • 4.5 Asbestos removal plan / procedure available?

  • 4.6 ACM removed by a licensed removal specialist?

  • 4.7 Worksafe notified of ACM where required?

  • 4.8 Silica dust controlled at source e.g. at source vacuum, wet cut method, etc.?

  • 4.9 No dry sweeping of concrete dust?

  • 4.10 P2 dust masks worn if silica dust exposure is likely to occur?

Priority Controls

5.0 Safety Signage

  • 5.1 Sufficient signage posted e.g. no unauthorized entry, emergency assembly, etc.?

  • 5.2 Site safety board displayed and up to date?

  • 5.3 Mandatory PPE requirements displayed?

6.0 Personal Protective Clothing

  • 6.1 Minimum PPE requirements complied with?

  • 6.2 Hard hats worn correctly (chin straps at heights, no caps or beanies, etc.) - where required?

  • 6.3 Eye protection worn where required?

  • 6.4 Respiratory protection worn where required?

  • 6.5 Foot protection worn with steel caps?

7.0 Housekeeping

  • 7.1 Work areas are clean and free of excess trash and debris?

  • 7.2 Walkways and access routes clear of tripping hazards?

  • 7.3 Material or equipment neatly stored and stacked in designated areas?

  • 7.4 Electrical cords, hoses, etc. elevated or routed neatly to prevent trip hazards?

  • 7.5 Timber or other scrap material free of protruding nails or other puncture hazards?

  • 7.6 Waste bins available and mainatained?

  • 7.7 End caps installed and maintained?

8.0 Hand Tools, Equipment and Power Tools

  • 8.1 Electrical cords - condition and current inspection valid?

  • 8.2 Hand tools maintained in safe condition?

  • 8.3 Hydraulic and pneumatic hose connections properly secured?

  • 8.4 Power tools maintained and current inspection valid?

9.0 Powder Actuated Tools

  • 9.1 Are users of powder actuated tools certified to use them (license to operate verified)?

  • 9.2 Are warning signs displayed where powder actuated tools are used?

  • 9.3 Task area barricaded to prevent unauthorized persons from entering?

  • 9.4 Misfired charges secured and discarded as required?

  • 9.5 Powder actuated tools not left unattended?

10.0 Emergency Preparedness and Response

  • 10.1 Fire extinguishers properly located and inspected?

  • 10.2 Emergency contact details displayed?

  • 10.3 Emergency plan displayed and assembly point identified?

  • 10.4 Emergency plan covers all potential emergency scenarios (e.g. rescue from heights following a fall)?

  • 10.5 First aid kit available and stocked?

11.0 Public & PCBU Interface

  • 11.1 Other PCBU's on site informed of the risks & hazards they may be exposed to?

  • 11.2 Proof of coordination between PCBU's?

  • 11.3 Safe thoroughfares for public where required?

  • 11.4 Routes clearly marked and signage installed?

  • 11.5 Site fenced to prevent unauthorized access?

12.0 Environmental

  • 12.1 Bins provided for waste and off-cut material?

  • 12.2 Bins not over-full?

  • 12.3 Dust controlled at source?

  • 12.4 Spill kits available?

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.