Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Gas Detection

  • Is GDU Present?

  • Is GDU in calibration date?

Site Safety

  • Is site guarded safely?

  • Are there sandbags used?

  • Has the site been identified as likely to cause damage to utilities?

  • RA & MS briefed face-to-face with all gang members and fully understood?

  • Is the relevant work stream or work process doc or craft manual and safety file on site?

  • At least one operative holds the required NRSWA units for the work activity?

  • All Signing, lighting and guarding has been set in place and meets code of practice?

  • Have you ensured at least 1.0m of space exists on footway at the site?

  • Is the area free from risk for the general public?

  • Are all your tools and all cables and ropes held within your site zone?

  • Are all tools and equipment held behind the gate guards?

  • Is your van parked in a safe position and protected if part of your work zone?

  • Are all site personnell wearing full PPE?

  • Is all the relevant PPE / Equipment available to be used and in good condition?

  • Is specialist PPE required?

  • Are all operatives trained in Confined Spaces?

  • Is a water test kit available and is any water to be locally pumped out of a chamber clear?

  • Are spill kits and an instructed operative available on site?

  • Are there any other environmental issues?

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.