Information

  • Document No.

  • Location
  • Contractor:

  • Personnel onsite:

  • Conducted on

  • Prepared by:

1. Site Control - H&S Compliance

  • 1.1Have the pre-start risk assessments been completed?

  • 1.2 Have all contractors/workers/visitors signed in and out on the SSSP?

  • Photo of sign in sheet for contractors/workers and/or ID cards.

  • 1.3 Have the contractors listed any additional hazards they bring to the site on the Hazard Register?

  • 1.5 Are there hazard boards displayed?

  • 1.6 Is the area clear of debris and tripping hazards?

  • 1.7 Is there an accident/incident register on site?

  • Photo of site:

2.0 Personal Safety Equipment

  • 2.1 All personnel wearing the appropriate PPE?

  • 2.2 What PPE is the trade/contractor wearing?

  • 2.2 Is the PPE in good condition?

  • Enter comments on non-conforming PPE

  • Photos of non-conforming PPE

  • 2.3 Is the trades respirator in good condition? Is it stored correctly?

3.0 First Aid/Fire Prevention

  • 3.1 Is there a First Aid Kit onsite?

  • 3.1.1 is the First Aid kit fully stocked and compliant?

  • Minimum requirement for First Aid Kit

  • Comments on non-compliant First Aid Kit

  • 3.2 Is there a Fire Extinguisher onsite?

  • 3.2.1 Is the Fire Extinguisher compliant. (Serviced annually)

4.0 Electrical Equipment

  • 4.1 Do all electrical equipment have a current tag?

  • Check a minimum of 5 items for tag and test compliance

  • Comments on non compliant equipment

  • 4.2 Are all electrical equipment plugged into RCD's?

  • 4.3 Are all Leads safely placed and in good condition?

  • 4.4 Are all power tools in good working order?

  • 4.5 Are all electrical leads protected in high traffic areas?

  • 4.6 Are all leads clear of water?

  • Photo's of non-compliant equipment.

5.0 Ladders

  • 5.1 Are all ladders a commercial grade?

  • 5.2 Are the Ladders in a good condition?

  • 5.3 Are the ladders being used in the correct manner?

  • 5.4 Is the ladder set up on a firm surface?

  • 5.5 Are the step ladder lock bars in place?

  • 5.6 Is the trade working no higher than the 3rd step down?

  • Photos of Ladder Usage

  • 5.7 Fall arrest equipment in good condition.

  • 5.8 Is the appropriate equipment being used for the task?

  • Photo's of height work

6.0 Scaffolding/Edge Protection

  • 6.1 Is the scaffolding erected right for the job?

  • 6.2 Has the scaffolding been erected by a certified scaffolder if over 5m in height?

  • 6.3 Scaf tag/ scaffold register up to date?

  • is the intermediate rail in place?

  • 6.4 Are guard rails in place?

  • 6.5 Is there a toe board in place?

  • 6.6 Are the platforms adequate, 3 planks minimum. Are the platforms secured?

  • 6.7 Are the base plates and sole plates adequate for the job?

  • 6.8 Have any electrical mains cables been sheathed/covered? Have there been gates installed either side to isolate cables?

  • Photos of scaffolding

7.0 Environmental

  • Has any environmental testing been done eg. Lead Paint Testing, Asbestos Testing?

  • If yes what testing was done?

  • Has this information been added to the SSSP?

  • 7.1 Is all waste been disposed of correctly?

  • 7.2 Are the correct environmental procedures in place?

  • 7.3 Details of environmental non-compliance.

  • Photo's of environmental issues.

8.0 Positive Observations

8.0 Corrective Actions

  • Enter any corrective actions that need to be undertaken.

9.0 Sign Off

  • On site representative signature

  • Auditor's signature

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.