Title Page
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Site conducted
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Date
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Client / Site
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Person conducting inspection
Page 1
1. Administration
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Contractor induction in place
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COVID-19 safe plan in place
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Staff members wearing masks in accordance with government guidelines at the current time
Page 2
2. Health & Safety Systems
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Contractor’s OHS system is onsite and able to be accessed
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SWMS / JSA / other safety task documents available, signed by employees conducting work
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Permit to Work for High Risk Work completed (eg. Asbestos treatment or removal, confined spaces, hot works, excavation, penetration or demo, working at heights)
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Asbestos, soil contamination, hazardous materials reports as applicable onsite
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Asbestos Management Plan, Soil Contamination Management Plan in place
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Contract Health & Safety Plan available
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Emergency procedures for site in place
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Register of all incidents, hazards and injuries including ‘notifiable incidents’ that are reported to Worksafe
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First aid kit onsite, accessible
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First aid kit serviced & replenished, has record of medical supplies used
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One accredited First Aid Officer (Level 2) on site
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Traffic Management Plan for any works on or adjacent to a road, with written consent from Coordinating Road Authority
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Permits available (e.g. Building, Demolition, Works on Waterways)
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School, Kindergarten or Childcare Centres - Working With Children Checks available for all persons attending site?
Page 3
3. Housekeeping
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Work areas free from rubbish and obstructions
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Free from slip/trip hazards
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Stock/material safely stored
4. Excavation
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Dial Before You Dig / service plans available
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Shoring in place in sound condition
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Banks battered and loose soil away from edge
5. Electrical
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Are Dial Before You Dig Plans available and relevant services located & marked onsite
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No broken plugs, sockets, switches coming from gangbox (primary power source/switchboard for builder)
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Insulated and non-conductive ladders used for electrical work
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No work near exposed live electrical equipment<br>
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Work under overhead power lines has protection in place (eg. zebra tape, spotter, exclusions zones)
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Tools and leads inspected and tagged (Const sites)
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RCD protection used?
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Lock out procedures/danger tags in place
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Dry Chemical Fire Extinguisher Present
Page 4
6. Mobile Plant and Equipment
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Daily safety inspection procedures/checklists
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Warning and instructions displayed (eg. for PPE, crane lift, workers above, trenching, forklift, mobile plant, generator electrical signage, etc.)
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Safe Working Load of lifting or carrying equipment displayed - spot check nearest plant
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Operators trained and licensed - spot check nearest plant
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Emergency stops appropriately placed and clearly identifiable - spot check nearest plant
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Reversing alarm operational - spot check nearest moving plant
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Does the electrical generator have RCD protection?
Page 5
7. Hazardous Substances
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Safety Data Sheets (SDS) available
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Chemical register available
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Containers labelled and clearly identified
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Ventilation/exhaust systems present
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Protective clothing/equipment available/used
Page 6
8. Welding
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Welding fumes well ventilated
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Fire extinguisher near work area
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Gas bottles securely fixed to trolley
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Vision screens or welding mask used for welding
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LPG bottles within 10 year stamp
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PPE provided and worn
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Hot Work Permit system used
9. Prevention of Falls
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Fall prevention in place for works above 2m (Scaffolding, Elevated Work Platforms, Harness Protection)
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All work platforms have secure handrails, guarding
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All floor penetrations covered or barricaded
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Unsafe areas signposted and fenced
10. Ladders
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Ladders are not used to support planks for working platforms
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Platform ladders used above 2 metres
11. Personal Protection
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Employees provided with PPE
12. Demolition
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Signage and barriers are in place isolating demolition works from general public
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Overhead protection in place
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Access prevented to demolition area (eg. perimeter fencing, spotters, other protection of public)
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SWMS / JSA undertaken in advance
Page 7
13. Public Protection
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Barricades, fencing, hoarding, gantry secure and in place
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Site & mandatory site signage in place (eg. site construction board above $350,000)
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Lighting for public access onsite<br>
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Dust and noise controls in place
14. Amenities
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Toilet/dining facilities available
15. Final Comments
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Page 8
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Inspectors Signature
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Contractors Signature