HK-FM71 Site Safety Inspection Checklist

• HK Project Number

• Project Name

• Location
  Address

• Conducted on

  Date

• Prepared by

• Personnel

1. Previous issues or issues identified from reports or meetings: Has each issue ( listed below ) been rectified? ( answer Yes or No for each ):

• 1.1

  Yes

  No

  N/A

• 1.2

  Yes

  No

  N/A

• 1.3

  Yes

  No

  N/A

2. WHS Systems & Practices

• 2.1 Have site inductions been completed and recorded ( check selected site workers against signed induction forms)?

  Yes

  No

  N/A

• 2.2 Are records of toolbox meetings available & being recorded on HK-FM 14?<br>

  Yes

  No

  N/A

• 2.3 Is the Site Emergency Plan up to date including HK-FM 27 Emergency Contact Register ?

  Yes

  No

  N/A

• 2.4 Is fire Protection equipment available & tagged as tested?

  Yes

  No

  N/A

• 2.5 Are the first aid facilities supplied by Harrold & Kite Pty Ltd & subcontractors.

  Yes

  No

  N/A

• 2.6 Are first aid personnel nominated for this site?

  Yes

  No

  N/A

• 2.7 Are high risk work licenses held? ( check subcontractors )

  Yes

  No

  N/A

• 2.8 Is Electrical plant & equipment tested & tagged ? ( check subcontractors )

  Yes

  No

  N/A

• 2.9 Are records kept of plant & equipment maintenance? ( check subcontractors )

  Yes

  No

  N/A

• 2.10 Are MSDS for all chemicals current? ( i.e within the last 5 years ) ( check sub contractors )

  Yes

  No

  N/A

• 2.11 Are SOP available for chemical use? ( check subcontractors )

  Yes

  No

  N/A

3. Safe Working Practices

• 3.1 Have risk assessments been carried out for all high risk construction work?

  Yes

  No

  N/A

• 3.2 Are JSA'S / SWMS's available for all medium to high risk tasks and activities?

  Yes

  No

  N/A

• 3.3 Have the JSA'S / SWMS's been approved by Harrold & Kite Pty Ltd

  Yes

  No

  N/A

• 3.4 Are the individual requirements of the JSA'S / SWMS's being followed by workers?

  Yes

  No

  N/A

Comments

• Close Out Signature ..

  Sign

• Form No 71 ( version 1 )