GENERAL SITE INSPECTION

• Site conducted

  Select

• Conducted by:

• Date:

  Date

• Status of Report (Systems Manager use only):

  COMPLETED

  PENDING

• Instructions:
  *This checklist shall be used to conduct site inspections for all businesses

LEGISLATIVE SYSTEM REQUIREMENTS

• Does the site have a documented Operational Risk Assessment?

  Yes

  Part

  No

  N/A

• Are there high risk tasks / activities that require a Job Safety Analysis? i.e. forklift operations, tyre fitting, confined spaces, working at heights

  Yes

  Part

  No

  N/A

• What are the high risk tasks / activities?

• Has a Job Safety Analysis / Safe Work Method Statement been documented for the above tasks / activity?

  Yes

  Part

  No

  N/A

• Is the JSA / SWMS current?

  Yes

  Part

  No

  N/A

• Have employees received the relevant training for high risk activities / tasks?

  Yes

  Part

  No

  N/A

• Is there documented evidence of this?

  Yes

  Part

  No

  N/A

• Is the servicing and maintenance of plant and equipment current?

  Yes

  Part

  No

  N/A

• Is there documented evidence of plant & equipment services?

  Yes

  Part

  No

  N/A

• Do employees have the relevant training and competencies for their role?

  Yes

  Part

  No

  N/A

• Is there documented evidence of training and competencies? i.e. training records, certificates, familiarisations

  Millroy Drive

  Plover Drive

  Artillery Road

  Other
GENERAL SITE SAFETY ISSUES OBSERVED

• Details of issue identified:

• Recommended action to rectify the issue:

• Attach photo of the potential non-compliant issue:

  Media

• Signature of Site Representative:

  Sign

• Signature of person conducting the inspection

  Sign