Information

  • Site

  • Conducted on

  • Prepared by

General Administration

  • Is there a Site Specific Health and Safety Plan?

  • Is there a Health and Safety Policy?

  • Is the Health and Safety been signed?

  • Valid Letter of Good of Good Standing

  • Signed Mandatory Agreement

Appointments

  • Contractor Appointment Signed

  • 16(2) Appointment Signed

  • Risk Assessor Appointment Signed

  • Fall Protection Plan Developer Appointment Signed

  • Accident and Incident Investigator Appointment Signed

  • Site Supervisor Appointment Signed

  • First Aider Appointment Signed

  • Hand Tool Inspector Appointment Signed

  • Portable Electrical Tool Inspector Appointment Signed

  • Ladder Inspector Appointment Signed

  • Stacking and Storage Supervisor Appointment Signed<br>

  • Emergency Co-Ordinator Appointment Signed

  • Fire Extinguishing Equipment Inspector Appointment Signed

  • Mobile Plant Inspector Appointment Signed

Certificates and Medicals

  • Risk Assessor Certificate on File

  • Accident and Incident Investigator Certificate on File

  • First Aider Certificate on File

  • Medicals of all workers on File

Accident and Incidents

  • Any Accidents or Incidents on site in the last 30 days

  • If so have you notified the Contractor and other relevant parties

  • If so, are all the necessary documents in place<br>

Risk Assessment Communication

  • Is the Risk Assessment site specific?

  • Have the Risk Assessment been Communicated to all workers and did they sign the register

Fall Protection Plan Communication

  • Is the Fall Protection Plan Site Specific?

  • Have the Fall Protection Plan been Communicated to all workers and did they sign the register

Checklists and Registers

  • Portable Fire Equipment Register

  • First Aid Box Register

  • PPE Issue Register

  • Hand Tool Inspection Register

  • Portable Electrical Tools Register

  • Ladder Inspection Register

  • Daily Plant Inspection Register (Generators and other Small Plant)

Toolbox Talks

  • Have Toolbox Talks been done at least once a week with all workers on site

Induction Training

  • Was all workers inducted prior of work being done on site

Personal Protective Equipment (PPE) - Compliance on Site

  • Workers - Safety Boots

  • Workers - Reflective Vests

  • Workers - Hard Hats

Housekeeping and Stacking and Storage

  • Stacking and Storage done as per Safety Plan and Risk Assessment

  • Effective Waste Removal

Emergency Equipment

  • First Aid Box available on site

  • Adequate Fire Fighting Equipment available on site

  • Audit Conducted by:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.