Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Was an additional party involved?

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

Inspection Instructions

  • Compliance checks according to this inspection are to be completed on a instance-by-instance basis. For each instance of an element which is inspected, click the + icon in the top right corner of the inspection section to create a new set of fields. This should be done for each inspected instance.

  • Wherever possible try to ensure that a minimum of 5 instances are inspected per category.

  • Any observed non-compliances should include both an action item and a description of the issue using the integrated functions.

  • Where instances of non-conformance are observed which may pose an immediate threat to the well-being of workers or bystanders, pause the inspection and immediately stop work. Make a not of this in the inspection once the area has been made safe.

  • While making records for this inspection, ensure that you are in a safe position to do so.

Inspection Questions

    Confined Space
  • Space Name

  • Are all confined spaces clearly and conspicuously identified to prevent accidental/unauthorized access?

  • Do confined space permits accurately identify the actual hazards associated with the space?

  • Where a confined space is in use, are permits up to date and signed by all appropriate parties?

  • Is confined space ventilation accurate to what is specified on the permit?

  • Is an appropriately trained standby person performing duties in accordance with the conditions of the permit?

  • Are all welding lines, hoses, and other welding tools being removed from confined spaces while vacant?

  • Working at Heights
  • Trade Observed

  • Where work is taking place at over 6' in height is fall protection equipment in use?

  • Where work is taking place at over 25' in height has a fall protection plan been developed?

  • Are all fall protection elements tagged with current inspection markers?

  • Has fall protection equipment been inspected prior to use?

  • General Yard Safety
  • Worker Category

  • Are workers obeying yard safety rules?<br>(no talking and walking, staying within yellow walkways, wearing appropriate PPE)

  • Was the worker aware of emergency procedures?<br>(muster points, roles and responsibilities in an emergency, emergency contact numbers)

  • Was the worker aware of OHS policy?<br>(Where information is available, their responsibilities, hazard communication)

  • Personal Protective Equipment
  • Task description

  • Is the respiratory protection being used by workers appropriate for the task?

  • Is general PPE being used by workers appropriate for the task?

  • Where a task requires specific PPE is it being used?

  • Is PPE widely available to workers as needed for each task?

  • Lock Out Tag Out
  • Description of Identified Process

  • Has company LOTO procedure been applied to identified work process

  • Do locks on equipment clearly identify the lock owner and a method of contact?

  • Have all invested parties identified a process for lock removal, including a lockout coordinator?

  • Has a clear LOTO plan been identified for the equipment being worked on?<br>(De-energization points, re-energization procedure, permitted workers)

  • Vehicle Operation
  • Operator Category

  • Was the operator focused solely on driving?

  • Were speed limits being obeyed?

  • Was signage appropriately obeyed?

  • Were spotters being used as necessary to manage hazards?

  • Was the operator appropriately trained/licensed to operate the vehicle?

  • Mobile Equipment Operation
  • What type of mobile equipment was observed?

  • Has a pre-use inspection been completed for the identified equipment?

  • Do operators know the location of operational manuals and safe work procedures for the equipment?

  • Are all signaling devices in good operational condition?

  • Is the mobile equipment free of damage? (fluid leaks, restraints, damaged ROP, bent forks)

  • Is the mobile equipment being operated in a safe manner? (obeying speed limits, stopping at stop signs, signaling actions as needed)

  • Are loads on mobile equipment being handled in a safe manner?

  • Are operators appropriately trained and authorized to operate the mobile equipment?

  • Ladders and Work Platforms
  • Trade observed

  • Are ladders and work platforms on good firm ground and stable?

  • Are ladders tied off as needed?

  • Is the length of the ladder appropriate to allow access to the higher level?

  • Is the selected ladder/work platform appropriated for the task being undertaken?

  • Was the ladder inspected prior to use?

  • Is the ladder in good usable condition?

  • Hot Work
  • Trade observed

  • Have workers performed pre-use inspections on their equipment prior to working?

  • Are inspection tags for hoses and tools up-to-date?

  • Is equipment in good usable condition?<br>(Free of leaks, cracks, other visible damage)

  • Are hot work permits available and signed as needed?

  • Where gas welding/burning equipment is being used, are flashback arrestors in place?

  • Is the gas tag procedure being followed for all in use gas lines?

  • Are receptacles available for electrode stubs?

  • Are fire extinguishers readily available and easily accessible for all hot work operations?

  • Rigging and Hoisting
  • Trade Observed

  • Are all rigging components being inspected prior to use?

  • Are inspection tags up-to-date for slings and rigging equipment which is in use?

  • Is the rigging equipment which is in use appropriate for the task being completed?

  • Where a lift has been deemed critical by WSBC has a critical lift plan been developed and signed by all parties?

  • "Where a lift is taking place, are appropriate measures being taken to restrict access?<br>(control zones, rigger monitoring, spotters, ...)"

  • Where a lift is being done blind by the operator or has the potential to become blind, are spotters being used as appropriate?

  • Are all personnel involved in the lift appropriately trained for their respective roles?

  • Have pre-use inspections on cranes in use been completed?

  • Hazardous Material Handling/Practice
  • Identify the hazardous substance under review.

  • Are containers which are being used to store hazardous materials in good condition?

  • Are all hazardous material containers appropriately labeled? (manufacturer/workplace label)

  • Is a current and complete SDS package available for all hazardous materials?

  • Are storage conditions for hazardous materials appropriate? (not in a position to fall or tip, not exposed to extreme environments, stored in locked cupboards as needed, adequately ventilated, clearly identified, ...)

  • Are pressurized cylinders secured against tipping/falling using chains/straps?

  • Control Zones and Barricades
  • What work process is being observed?

  • Where tape is being used to establish a control zone, is the correct style (danger/caution) being used?

  • When hazard creating tasks have been completed, are control zones being removed?

  • Are workers aware of situations where they need to establish control zones?

  • Where hazardous work is taking place, are workers observed effectively using control zones?

  • Where control zones have been established, is a tag which appropriately describes the hazard and hazard owner attached?

  • Emergency Response and Preparedness
  • Area Observed
  • Are workers familiar with their responsibilities and procedures in the event of an emergency?<br>(Muster, evacuation routes, ...)

  • Are means of emergency egress/exit/escape being maintained free of debris/clutter/garbage/combustibles which may make escape in an emergency infeasible?

  • Where a situation has been identified as requiring formal rescue documentation, is the equipment and necessary personnel as outlined in the rescue plan readily available?

  • Where work is happening at any listed below, has a risk assessment been completed and documented for the task?<br>(a) work at high angles,<br>(b) work in confined spaces or where there is a risk of entrapment,<br>(c) work with hazardous substances,<br>(d) underground work,<br>(e) work on or over water, and<br>(f) workplaces where there are persons who require physical assistance to be moved

  • Where work is happening under any of the below listed conditions, has an appropriate plan for rescue been written and conspicuously published?<br>(a) work at high angles,<br>(b) work in confined spaces or where there is a risk of entrapment,<br>(c) work with hazardous substances,<br>(d) underground work,<br>(e) work on or over water, and<br>(f) workplaces where there are persons who require physical assistance to be moved

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.