Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Audit

  • Weather, Temperature, Wind, Humidity etc

Shifts Worked

  • Day Shift

  • Night Shift (Previous Night)

Description of Works Performed Today

  • Site Inspection Time

Subcontractors Witnessed

  • Marine Subcontractor

  • Please specify the name of the subcontractor

  • Electrical Subcontractor

  • Please specify the name of the subcontractor

  • Civil Subcontractor

  • Please specify the name of the subcontractor

  • Additional Subcontractors

  • Please specify additional subcontractors

  • Consultants On Site

  • Please specify additional subcontractors

Description of works

  • Landside Works

  • Waterside Works

Onsite Safety Observations

  • Please answer these questions daily. They will give us valuable insight about day to day changes in OHHS

  • Did you attend a toolbox talk today?

  • Please specify the topic

  • Do you have any safety observations to report?

  • Please state your safety observations

  • Please state the hazards identified on site

On-site Environmental

  • Do you have any environmental conditions to report?

  • Positive or Constructive

  • Please state your observation

  • Please state your observation

  • Do you have a Noise & Vibration observations to report?

  • Please state your observation

  • Any contamination removal works conducted?

  • Please describe the contamination removal works being conducted

Traffic Control

  • Do you have any traffic control conditions to report?

  • Please state your observation

Delays

  • Any condition delaying or slowing down works observed during inspection?

  • Please state the delay and the reason

COVID-19 Impacts

  • Where there any potential COVID-19 impacts today?

  • Please describe the COVID-19 impacts

On-site Major Plant and Equipment and Materials

  • Any Breakdowns/ Maintenance Downtime/ etc ?

  • Please state your observation

  • Please attach photos

  • On-site Major Plant Equipment

  • On-Site Stored Material

Observed On-Site Labour

  • MC Engineers

  • MC Supervision

  • Marine Labours

  • Electricians

  • Pre-cast Installers

  • Civil Labours

  • Painters

  • Tactile Installers

  • Gangway Crew

  • Concreting

  • Waterproofers

  • Traffic Controllers

  • Other Labour

  • Approximate Cumulative Daily Count

Project Signature

  • This section is to be completed by the Surveillance Officer or individual completing this checklist

  • Signature:

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