Title Page

  • Location / Site

  • Prepared by

  • Conducted on

Housekeeping

  • Photos

  • Materials stacked safely and correctly.

  • Laydown areas defined clean and tidy.

  • Signage erected to identify hazardous storage / disposal area.

  • Signs and barricading erected and maintained around hazard areas.

  • Solid barricading erected and maintained around potential fall areas.

  • Barricading complies with site requirement. ie hard barricading or para webbing.

  • Sharp objects capped ie: star pickets & reo bar.

  • High housekeeping standards maintained.

  • Bin locations prominent, adequate and emptied regularly.

  • Access and egress points clear of obstruction

  • Access to elevated work areas complies with site requirements.

  • Handrails installed on ramps & stairs etc:

  • Sharp edges are covered on walkways/access ways.

  • Ladders are secured when in use and in good working order

  • Areas delineated for vehicle parking

  • Further Findings:

Sign

  • Name:

  • Select date

  • Signature:

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