Title Page

Internal Site Health and Safety Checklist

Work Description

Worksite Location

Inspection Completed By:

  • 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:

  • Appropriate signage and barricades in place for traffic and pedestrians.

  • Footpaths and roads clean and free from debris?

  • Comments:

2. Housekeeping

2.1- Work areas free from rubbish and obstruction?

2.2- Stock/ materials stored safely?

  • Comments:

3. Mobile plant and Equipment

3.1- Plant and equipment in good condition. Weekly safety inspection procedures/ checklists/ SWL of lifting equipment inspected?

  • Comments:

4. Excavation

Trench depth.

  • Trench depth. M (if =or > 1.4m Notification to be submitted)

  • Trench safe i.e. top clear of materials, benched if required, supports suitable if required.

  • Comments:

5. Personal protection

Employees wearing PPE - boots/ vests and done up/ helmets/ ears/ eyes?

  • Comments:

6. Manual Handling

6.1 - Mechanical aids provided and used?

  • Comments:

7. Confined Spaces

7.1- Risk assessment undertaken/ Communication and rescue plan in place/ Safety equipment in good working condition?

  • Comments:

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