GVW Internal Site Health And Safety Checklist (Northern)

Inspection Information

• Work Description

• Worksite Location:

• Inspection Completed By:

• Inspection date:

  Date

Persons On Site:

Contractors:

• Contractors on worksite

  Yes

  N/A

• Contractor name and induction card number:

1.0 Health and Safety Systems

• 1.1- Staff on site appropriately trained for task?

  Yes

  No

• 1.2- Staff appropriately trained for plant and equipment on site?

  Yes

  No

  N/A

• 1.3- Risk assessment completed and sighted?

  Yes

  No

• Enter JSEA & High Risk Work Order number

• 1.4- Permits obtained- Trench and shoring/ confined space entry/ road opening/ spotter

  Yes

  N/A

• 1.5- Traffic management:

  Yes

  N/A

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

  Yes

  No

• Footpaths and roads clean and free from debris?

  Yes

  No

• Comments:

2.0 Housekeeping

• 2.1- Work areas free from rubbish and obstruction?

  Yes

  No

• 2.2- Stock/ materials stored safely?

  Yes

  N/A

3.0 Mobile Plant and Equipment

• 3.1- Plant and equipment in good condition

  Yes

  No

• 3.2 Weekly safety inspection procedures/ checklists/ SWL of lifting equipment inspected?

  Yes

  No

• Comments:

4.0 Excavations

• Excavations

  Yes

  N/A

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

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

  Yes

  No

5.0 Personal Protection

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

  Yes

  No

• Comments:

6.0 Manual Handling

• 6.1 - Mechanical aids provided and used?

  Yes

  No

7.0 Confined Space

• Confined Space

  Yes

  N/A

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

  Yes

  No

• 7.2 Communication and rescue plan in place?

  Yes

  No

• 7.3 Safety equipment in good working condition?

  Yes

  No

• Comments:

8.0 Asbestos

• Asbestos material present

  Yes

  N/A

• 8.1 PPE worn as required?

  Yes

  No

• 8.2 AC wrapping correct?

  Yes

  No

• 8.3 AC carting correct?

  Yes

  No

• 8.4 Spoil sorted correctly?

  Yes

  No

• Comments