Welcome to the Chemical Storage/Containment/Dosing Site Inspection Checklist!

  • Location
  • Treatment Plant

  • Conducted on

  • HWC Personal Conducting Inspection

  • Veolia Site Controller

  • Reason for visit



  • Weather (Previous 24hrs)

  • Weather (Current)


  • General site photos (remember to annotate if necessary)

Due Diligence

  • Who is Undertaking the activity?

  • Name of Contractor and Subcontractor:

  • What is the activity being observed?

  • Does the activity involve high risk construction work?

Observations from the activity

  • Please provide a brief description of what is happening?

  • Is there a Safe Work Method Statement (SWIMS) available for the activity?

  • Has the SWIMS been approved for use?

Areas of Observation

  • Does the SWIMS capture all hazards present at the time of the observation?

  • Does the SWIMS appear to be adequate?

  • Is any work being undertaken in or near a confined space? If so, are appropriate measures in place?

  • Is the work being conducted according to the SWIMS? If no, list the differences.

  • What positive observations have been made?

Comments and actions

  • General comments

Discuss Activity with personnel

  • Note name and position of personal spoken to as part of the observation?

  • Are they aware of any additional (e.g. site specific) hazards not covered in SWIMS?

  • Are control measures in place to minimize the risk from additional hazards?

  • Note Feedback and general comments

  • Confirm Feedback has been provided?

  • Sign

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.