Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Waste Premises

  • Duty-holder Name

  • Site Address
  • Registered Office Address

  • Type of Waste Activity

  • Employee Numbers

  • No. of Vehicles operating on site

  • Approx. no of vehicles to/from site each day

Safe Site

  • Is there adequate signage at site entrance? (warning of vehicle movements/speed limits/parking areas/customers & visitors to report to reception/office/weighbridge)

  • Does signage account for non-English speaking persons?

  • Are there designated parking areas? (employees/ visitors/ site vehicles)

  • Is there a reverse parking policy?

  • Are there safe routes for persons to travel from parking areas to office/ work areas?

  • Are there workplace transport rules provided to drivers/visitors?

  • Is there a traffic management plan?

  • Are traffic routes identified and sign-posted?

  • Are appropriate one-way systems in use?

  • Is appropriate high viz PPE provided, used and maintained?

  • Are there designated routes for pedestrians to travel around site?

  • Are pedestrian routes maintained?

  • Are pedestrians segregated where possible?

  • Are measures in place to ensure persons hand sorting waste on the ground are physically segregated from vehicles operating?

  • Are separate pedestrian/ vehicle access/egress points available at buildings/ sheds?

  • Are physical barriers provided at building/ shed access/egress points to prevent pedestrian walking onto traffic routes?

  • Are convex mirrors placed at blind spots?

  • Are roadways well designed with surfaces well maintained?

  • Is adequate lighting provided for operating during hours of darkness?

  • Additional Comments

Safe Vehicle

  • Are procedures in place to carry out pre-use daily checks and to report defects?

  • Is there a servicing/ maintenance schedule in place for vehicles?

  • Have statutory examinations been completed for vehicles used for lifting?

  • Is there a rule in place to ensure keys are removed from vehicles when not in use?

  • Are measures in place to ensure vehicle all round visibility?

  • Are vehicles provided with horns, lights, reflectors, reversing alarms where necessary?

  • Are lap belts available and used where appropriate?

  • Is the cab maintained in a clean condition?

  • Additional Comments

Safe Driver

  • Do drivers hold adequate licenses/ training certificates for the vehicles they are authorised to drive?

  • Is there a programme of driver refresher training in place?

  • Are there measures in place to prevent drivers falling from height during sheeting/ loading activities?

  • Additional Comments

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.