Title Page
Internal Site Health and Safety Checklist
Work Description
Worksite Location
Inspection Completed By:
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Select date
Persons On Site:
Contractor: if so name and induction card number-
1.0 Health and Safety Systems
1.1- Staff on site appropriately trained for task?
1.2- Staff appropriately trained for plant and equipment on site?
1.3- Risk assessment completed and sighted?
1.4- Permits obtained- Trench and shoring/ confined space entry/ road opening/ spotter
1.5- Traffic management:
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Appropriate signage and barricades in place for traffic and pedestrians.
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Footpaths and roads clean and free from debris?
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Comments:
2. Housekeeping
2.1- Work areas free from rubbish and obstruction?
2.2- Stock/ materials stored safely?
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Comments:
3. Mobile plant and Equipment
3.1- Plant and equipment in good condition. Weekly safety inspection procedures/ checklists/ SWL of lifting equipment inspected?
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Comments:
4. Excavation
Trench depth.
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Trench depth. M (if =or > 1.4m Notification to be submitted)
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Trench safe i.e. top clear of materials, benched if required, supports suitable if required.
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Comments:
5. Personal protection
Employees wearing PPE - boots/ vests and done up/ helmets/ ears/ eyes?
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Comments:
6. Manual Handling
6.1 - Mechanical aids provided and used?
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Comments:
7. Confined Spaces
7.1- Risk assessment undertaken/ Communication and rescue plan in place/ Safety equipment in good working condition?
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Comments: