Title Page

  • Document No.

  • Project Area.

  • Location
  • Subcontractor.

  • Conducted on

  • Inspected by.

  • Supervisor.

HEALTH & SAFETY DOCUMENTATION

  • PW2.Health and Safety Representatives names and photographs displayed

  • PW3. OH&S, Fitness for Work, Rehab, Enviro, Quality policies displayed?

  • PW4. "If you are injured" poster displayed?

  • PW5. Emergency Response Procedure & contact list displayed?

  • PW6. Location of muster points displayed?

  • PW7. Daily pre-start conducted and signed?

  • PW8. Daily pre-start filed in Project Pack Web (PPW)?

  • PW9. TRA completed, workforce have signed-on, and is available at work location?

  • PW10. Has the TRA been subjected to initial review?

  • PW11. Completed TRAs and filed in Project Pack Web (PPW)?

  • PW12. Are all eleven GMR Posters (8 safety, 3 environmental) displayed?

  • PW13. GMR Self Assessments are being completed, and cover extent of risks applicable to site?

SITE AMENITIES

  • SA1. First Aid kits available, adequate for the site risks?

  • SA2. First aid supplies regularly checked and are in date?

  • SA3. First Aid treatments recorded and records available in the First Aid Room?

  • SA4. First Aid Attendants names and photographs displayed?

  • SA5. Toilets (male & female) are available and signposted?

  • SA6. Amenities are regularly cleaned and maintained?

  • SA7. Spill kit(s) capacity appropriate for works undertaken, on site and easily accessible?

  • SA8. Fire fighting equipment appropriate for the risks, tagged & current (within 6 months)?

  • SA9. Fire fighting equipment register developed and maintained in Project Pack Web (PPW)?

  • SA10. Waste disposal facilities available and collection schedule in place?

PERSONNEL

  • P1. All personnel on site have completed the Melbourne Water and Project Induction?

  • P2. PPE requirements being met?

  • P3. Current induction sticker visible on helmets?

  • P4. Level 2 First aider(s) on site at all times?

  • P5. Site / Task specific PPE available and being used where required?

  • P6. START CARDS completed and relevant to the task being undertaken?

HOUSE KEEPING & ENVIRONMENTAL MANAGEMENT

  • H&E1. Site clean and tidy?

  • H&E2. Waste disposal with bins clearly labelled and recyclables separated?

  • H&E3. Site environmental plan (SEP) displayed?

  • H&E4. Heritage sites barricaded and signage in place?

  • H&E5. Sensitive vegetation barricaded and signage in place?

  • H&E6. Erosion / Sediment control in place, adequate and maintained?

  • H&E7. Soil stockpiles > 10m from watercourses?

  • H&E8. Refuelling > 50m from watercourses?

  • H&E9. Dust suppression adequate?

  • H&E10. Noise / vibration / odour controls adequate?

EXCAVATION AND TRENCHING

  • E1. Excavation and trenching permit in place, current and all relevant persons signed on?

  • E2. Excavation and trenching secured / falls into excavation or trench prevented?

  • E3. Trench benched, battered or shored adequately?

  • E4. Safe access and egress provided for trenches / excavations deeper than 500mm?

  • E5. Barrier and signage adequate to protect workers and public?

  • E6. Spoil or materials not placed within 1m of excavation edge?

  • E7. Daily excavation / trench inspection conducted and documented?

MOBILE PLANT

  • M1. Daily plant prestart check completed for all items of plant?

  • M2. Plant prestart records completed and filed by relevant party?

  • M3. Fire extinguisher fixed in position, charged, tagged and within test date (within 6 months)

  • M4. Operable flashing, reverse alarm, UHF radio, mirrors?

  • M5. Plant Risk Assessment (< 2 years old), operators manual in English & service records available & current?

  • M6. Operator licensed and, or competent (VOC'd within 2 years)?

  • M7. Plant authorisation sticker valid?

WORKING AT HEIGHT

  • H1. Ladders secure and only only used for access/egress (unless platform ladder)?

  • H2. Scaffolds inspected, tagged and scaffold register updated (maximum 30 days)?

  • H3. All floor penetrations securely covered or barricaded (covers or barricades require use of a tool to remove them)?

  • H4. All work platforms have secure handrails (top rail and mid rail), toe boards, mesh in fill's, guarding or fence panels?

  • H5. Protection of workers below/falling objects (barricaded and signposted drop zone, approved catch decks / nets, tool lanyards)?

  • H6. Harness and lanyard provided and test tag current?

CONFINED SPACES

  • C1. Confined space entry permit in place, current and all relevant persons signed on?

  • C2. Confined Space Rescue Plan in place and all relevant personnel familiar with plan?

  • C3. Gas testing and mechanical ventilation conducted as per the Confined Space Permit requirements?

  • C4. Six Gas, gas detectors utilised as per MW Procedure?

  • C5. Spotter / standby present and trained / certified / VOC'd?

  • C6. Emergency procedures in place?

  • C7. Emergency rescue equipment (as per Rescue Plan) readily accessible?

SMALL TOOLS & EQUIPMENT

  • ST1. Electrical tools and extension leads tested and tagged (3 monthly, RuGBY system)

  • ST2. Electrical leads elevated and insulated from metal objects?

  • ST3. Extension leads single length only (30 metre maximum)?

  • ST4. RCDs fitted and tested Monthly (check site sheds)?

  • ST5. Portable tools in good condition & OK for use (no 9 inch grinders)?

  • ST6. Leads, plugs, sockets, and switches in good condition?

LIFTING AND RIGGING

  • L1. Crane Safe green striker (current 12 months)

  • L2. Lift study completed for all medium and critical lifts, Pre-lift Start Card for low risk?

  • L3. Rigging gear in good condition tagged and within test date. WLL clearly marked?

  • L4. Rigger/dog man certified, VOC'd & used for slinging loads?

  • L5. Lift areas clearly delineated, signposted and clear of non-critical persons?

  • L6. Rigging equipment tested and tagged (current) and stored in accordance with manufacturers recommendations?

WELDING AND HOT WORKS

  • W1. Hot work permit available (if required), is current and relevant persons signed on?

  • W2. Flash back arresters fitted to the gauges and torch, flash protection and weld curtains in place where required?

  • W3. 9 kg fire extinguisher within 5 metres / fire blankets near work area?

  • W4. All combustible materials cleared for 6 metres around Hot Work area.

  • W5. Gas bottles secured in upright position (fire rated restraint), and stored separately unless in a welding / cutting set?

TRAFFIC MANAGEMENT

  • TM1. Traffic management plan (TMP) displayed, signed and document controlled?

  • TM2. Are safety barrier units connected together and filled with water where required?

  • TM3. Is the 2/6/12m (40/60/80km) rule being applied when working next to roadways?

  • TM4. Traffic management controls in place as per the TMP?

  • TM5. Condition of road (no potholes / water pooling > 500mm deep, oil, mud, debris)?

HAZARDOUS SUBSTANCE & DANGEROUS GOODS

  • HD1. SDS available in Australian format and up to date (< 5 years)?

  • HD2. Product being used in accordance with safety requirements set out in the SDS?

  • HD3. Appropriate type, location and quantity of spill containment available for the works being conducted?

  • HD4. All containers labelled correctly?

  • HD5. Stored appropriately (classes, ventilation, bunding etc.)?

  • HD6. Appropriate emergency / first aid equipment - deluge shower, eye bath, extinguishers available?

LASER EQUIPMENT

  • LE1. Class 1 Laser Equipment (covered in TRA for works where it is being used)?

  • LE2. Class 2 Laser Equipment (Covered in TRA for works where it is being used)?

  • LE3. Class 3 R Laser Equipment (requires specific TRA for the use of the laser & Laser Safety Officer)?

  • LE4. Class 3 B Laser Equipment (banned on MWCD sites)?

QUALITY ASSURANCE

  • Q1. ITP available for the work and is being completed progressively?

  • Q2. Equipment used for inspection & test is calibrated and the test results entered in the calibration register?

  • Q3. Design documentation and specifications in use are the latest version, compare to Aconex?

  • Q4. Materials are labeled, and are traceable to a purchase order?

  • Q5. Material and finished product is adequately protected from damage?

  • Q6. Sampled completed Work Lots contain all required quality supporting documentation required by the ITP?

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