Inspection of Building Sites

• Work Activity

• Work Location

• Assessment Team

• Conducted on

  Date

• Date Reviewed

  Date

• 

• 

• 

• 

• I have read and reviewed Risks, Hazards and Safety Measures for each task.

  Acknowledge

PPE

• Select all PPE items that will be used

  Select Hand Protection Hearing Protection Hard Hat Respiration Equipment High Visibility Clothing Protective Safety Footwear Safety Harness Sun Protection Eye Protection Overalls Wet Weather Gear Others

  • Hand Protection
  • Hearing Protection
  • Hard Hat
  • Respiration Equipment
  • High Visibility Clothing
  • Protective Safety Footwear
  • Safety Harness
  • Sun Protection
  • Eye Protection
  • Overalls
  • Wet Weather Gear
  • Others

• Hand Protection

  

• Hearing Protection

  

• Hard Hat

  

• Respiration Equipment

  

• High Visibility

  

• Protective Safety Footwear

  

• Safety Harness

  

• Sun Protection

  

• Eye Protection

  

• Overalls

  

• Wet Weather Gear

  

• Others: Please specify

IDENTIFIED HIGH RISK CONSTRUCTION CARRIED OUT IN THIS ACTIVITY

• 1. Involving a risk of a person falling more than 2 metres

  Yes

  No

  N/A

• 2. On a telecommunication tower

  Yes

  No

  N/A

• 3. Involving demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure,

  Yes

  No

  N/A

• 4. involving, or is likely to involve, the disturbance of asbestos

  Yes

  No

  N/A

• 5. involving structural alterations or repairs that require temporary support to prevent collapse

  Yes

  No

  N/A

• 6. In or near a confined space

  Yes

  No

  N/A

• 7. In or near (i) a shaft or trench with an excavated depth greater than 1.5 metres, or (ii) a tunnel

  Yes

  No

  N/A

• 8. Involving the use of explosives, or (i) is carried out on or near pressurised gas distribution mains or piping

  Yes

  No

  N/A

• 9. On or near chemical, fuel or refrigerant lines

  Yes

  No

  N/A

• 10. On or near energised electrical installations or services

  Yes

  No

  N/A

• 11. Involving tilt-up or precast concrete

  Yes

  No

  N/A

• 12. In an area that may have a contaminated or flammable atmosphere

  Yes

  No

  N/A

• 13. On, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians

  Yes

  No

  N/A

• 14. In an area at a workplace in which there is any movement of powered mobile plant

  Yes

  No

  N/A

• 15. In an area in which there are artificial extremes of temperature

  Yes

  No

  N/A

• 16. In or near water or other liquid that involves a risk of drowning

  Yes

  No

  N/A

• Where any of the above high risk work activities are carried out in construction work, they must be clearly identified in the Tasks column on the Work Method pro-forma

• 1. List training required eg Scaffold, Dogman, Front-end loader, Skid steer etc

  Select Site Induction Construction white card Manual Handling Electrical Awareness Traffic Control Working at heights Other

  • Site Induction
  • Construction white card
  • Manual Handling
  • Electrical Awareness
  • Traffic Control
  • Working at heights
  • Other

• Others : Please specify

• Engineering Certificates /Permits/Approvals required for this Activity: eg utility shutdown, hot work permit, etc.

Personnel

• Name and Signature

  Sign

• Organisation

• Inducting Supervisor