Title Page

  • Conducted on (Date and Time)

  • Inspected by

  • Location

Site Access and General

  • Warning signs, hazard board, etc, clearly displayed and relevant

  • Site access clear and tidy

  • Temp. toilet is clean

  • There is access to clean, freshwater

  • The site is secure

  • Temp. fencing is secure and not falling over

  • The berm area is tidy, no overgrown grass or weeds

Work Area

  • The work area is clean, tidy and clutter-free.

  • There are no unnecessary items in the work area.

Scaffolding, Stairways and Exits

  • Scaffolding, stairways, and exits are unobstructed.

  • There are no debris or unnecessary items on the scaffolding

  • No item is placed around stair or building access

  • Fall barriers in place

Storage Area

  • Storage areas are clean, tidy and organized.

  • Stacked materials are placed on a flat and firm foundation.

  • Physical barriers and warnings signs are installed around workplace hazards (e.g., sharp objects, protruding objects, a hot surface, a floor opening).

Tools, Machine and Equipment

  • Machine and equipment guards are in place and secure.

  • Cords and cables placed safely and not a trip hazard

  • Appropriate PPE in use

Waste Disposal

  • Proper waste bins for general waste, recyclable waste, hazardous waste, and so on are provided at work areas to facilitate responsible disposal.

  • Combustible waste is properly disposed of. For example, oily rags are disposed of in closed metal waste bins.

  • Waste (including hazardous waste) is collected regularly so that there is no unnecessary accumulation of waste.

  • A predetermined disposal area has been designated for situations where waste materials (e.g., bulky waste, toxic waste) need to be accumulated till the next waste collection date.

Completion

  • Full Name and Signature of the Inspector

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.