Inspection Information

Work Description

Worksite Location:

Inspection Completed By:

Inspection date:
Persons On Site:


Contractors on worksite

Contractor 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?

Enter JSEA & High Risk Work Order number

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?


2.0 Housekeeping

2.1- Work areas free from rubbish and obstruction?

2.2- Stock/ materials stored safely?

Plant/Equipment & Excavations

3.0 Mobile Plant and Equipment

3.1- Plant and equipment in good condition

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


4.0 Excavations


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.

PPE & Manual Handling

5.0 Personal Protection

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


6.0 Manual Handling

6.1 - Mechanical aids provided and used?

Confined Spaces & Asbestos

7.0 Confined Space

Confined Space

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

7.2 Communication and rescue plan in place?

7.3 Safety equipment in good working condition?


8.0 Asbestos

Asbestos material present

8.1 PPE worn as required?

8.2 AC wrapping correct?

8.3 AC carting correct?

8.4 Spoil sorted correctly?


Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.