Health and Safety Site Inspection Report

• Site inspection title:

• Document serial number:

• Client:

• Conducted on:

  Date

• Report prepared by:

• Site address:
  Address

• Contractors on site:

• Brief summary of works being carried out on site at time of inspection:

PERSONAL PROTECTIVE EQUIPMENT

• Is CSA approved eyewear utilized while on site?

  Yes

  No

  Area for Improvement

  N/A

• Is CSA approved footwear utilized while on site?

  Yes

  No

  Area for Improvement

  N/A

• Are hard hats being utilized at all times, and secured when working at heights?

  Yes

  No

  Area for Improvement

  N/A

• Is hearing protection being used when required?

  Yes

  No

  Area for Improvement

  N/A

• Is a sufficient supply of hearing protection available to workers?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

FALL PROTECTION / WORKING AT HEIGHTS

• Is 100% tie-off utilized when working at heights, and is a 2 meter distance from leading edges maintained?

  Yes

  No

  Area for Improvement

  N/A

• Can Anchor points selected withstand proper force? (16kN / 5000lbs)

  Yes

  No

  Area for Improvement

  N/A

• Are leading edges adequately guarded with proper signage?

  Yes

  No

  Area for Improvement

  N/A

• Are floor openings properly protected?

  Yes

  No

  Area for Improvement

  N/A

• Is Fall protection being used at heights over 3 meters ?

  Yes

  No

  Area for Improvement

  N/A

• Do harness and lanyards pass inspection?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

FIRE SAFETY

• Do contractors have fire extinguishers on hand where hot works are being carried out?

  Yes

  No

  Area for Improvement

  N/A

• Is proper grounding being utilized?

  Yes

  No

  Area for Improvement

  N/A

• Is proper storage of compressed gas cylinders being utilized?

  Yes

  No

  Area for Improvement

  N/A

• Are fire escapes and walkways adequately signed and identified?

  Yes

  No

  Area for Improvement

  N/A

• Are appropriate and sufficient site fire extinguishers in available?

  Yes

  No

  Area for Improvement

  N/A

• Have fire extinguishers been inspected within last 12 months?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

WHMIS

• Are hazardous substances being used on site?

• Are Material Safety Data Sheets and Risk Assessments on site to accompany substances being used?

  Yes

  No

  Area for Improvement

  N/A

• Are workers trained in WHMIS?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

ACCIDENTS AND INCIDENTS

• Have any accidents or incidents occurred on site since last inspection, and are they documented?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

FIRST AID PROVISION

• Are first aider contact details available on site notice board?

  Yes

  No

  Area for Improvement

  N/A

• Are a suitable number of stocked first aid kits on site?

  Yes

  No

  Area for Improvement

  N/A

• Are eye wash stations available on site?

  Yes

  No

  Area for Improvement

  N/A

• Do regular safety meetings address First Aid and other Health issues?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

TRAINING

• Do all workers possess Fall Protection training?

  Yes

  No

  Area for Improvement

  N/A

• Have all workers received Site Orientations?

  Yes

  No

  Area for Improvement

  N/A

• Do all workers possess specialized training if required for their job?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

SITE CONDITIONS

• All material properly secured at heights? <br>Storage of material not near leading edges?

  Yes

  No

  Area for Improvement

  N/A

• Personal access routes clear and proper barricading erected for hazards present?

  Yes

  No

  Area for Improvement

  N/A

• All debris netting installed and maintained?

  Yes

  No

  Area for Improvement

  N/A

• Ladders and stairwells free of hazards and clear of debris?

  Yes

  No

  Area for Improvement

  N/A

• Is the standard of housekeeping acceptable?

  Yes

  No

  Area for Improvement

  N/A

• Are works areas free from congestion?

  Yes

  No

  Area for Improvement

  N/A

• Are suitable dust control measures in place, (I.e. dampening down during sweeping, dust extractor fitted to cutting equipment)?

  Yes

  No

  Area for Improvement

  N/A

• Are site rules on display?

  Yes

  No

  Area for Improvement

  N/A

• Were any conditions observed that may offer chances for slips, trips or falls?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

WORK ACTIVITIES

• Are work activities being managed safely?

  Yes

  No

  Area for Improvement

  N/A

• Are permits issued and recorded (hot works, electrical distribution board)?

  Yes

  No

  Area for Improvement

  N/A

• Have manual handling tasks been properly assessed?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on this section are:

WORK EQUIPMENT

• Are mobile elevated work platforms utilized in a safe manner?

  Yes

  No

  N/A

• When utilizing mobile elevated work platforms, are PPE, hardhat, safety glasses, safety boots, harness and lanyard used and shortened to shortest length and attached to anchorage point?

  Yes

  No

  Area for Improvement

  N/A

• When utilizing mobile elevated work platforms, do operators ensure that the work area is clear of personnel and equipment prior to any movement, driving, lowering, etc., of the equipment?

  Yes

  No

  Area for Improvement

  N/A

• Are exclusion/control zones clearly designated & marked off prior to using utilizing or moving mobile elevated work platforms?

  Yes

  No

  Area for Improvement

  N/A

• When utilizing mobile elevated work platforms, is minimum approach distance observed?

  Yes

  No

  Area for Improvement

  N/A

• Are cranes and mobile elevated work platforms used on site inspected on a regular basis?

  Yes

  No

  Area for Improvement

  N/A

• Are scaffolds erected by competent persons inspected and properly tagged for safe use?

  Yes

  No

  Area for Improvement

  N/A

SITE DOCUMENTATION

• Is there a copy of the Company Health and Safety Policy on display, signed and dated?

  Yes

  No

  Area for Improvement

  N/A

• Are Hot Work Permits completed and retained where necessary?

  Yes

  No

  Area for Improvement

  N/A

• Is there an adequate Fall Protection Plan on site?

  Yes

  No

  Area for Improvement

  N/A

• Is there a Site Specific Health and Safety Plan on site?

  Yes

  No

  Area for Improvement

  N/A

• Is there an up-to-date Emergency Response Plan in place ?

  Yes

  No

  Area for Improvement

  N/A

• Are daily Field Level Hazard Assessments being performed?

  Yes

  No

  Area for Improvement

  N/A

• Are weekly Safety Meetings/ Tool Box Talks being performed?

  Yes

  No

  Area for Improvement

  N/A

• Are insurance certificates for Employee / Public liability on site?

  Yes

  No

  Area for Improvement

  N/A

• Are inspection documentation for cranes and mobile elevated work platforms present on site?

  Yes

  No

  Area for Improvement

  N/A

• Additional comments on the section are:

Report Summary

• Site Inspector

  Sign

• Site Inspectors Comments

• Site Manager / Representative

  Sign

• Site Manager / Representative Comments