Information
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Document No.
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Reference No
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Type of Site:
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Office:
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Site Address:
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Inspection Date:
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Site Supervisor:
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Attendance at Inspection:
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Approx No of Workers on Site:
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Inspected By:
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Overall Comments:
A: SITE SETUP AND ACCESS
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Co-ordination Plan displayed
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Public Safety - fencing and signs
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Safe access throughout the work site. E.g. Crushed rock walkways
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Work site clean and tidy. Rubbish regularly removed from site
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Safety signs. E.g vests, eye/ear protection
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Are workers and the public safe from traffic
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Comments:
B: AMENITIES
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Toilets clean / toilet rolls
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Water available
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Comments:
C: PROTECTIVE EQUIPMENT
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High visibility clothing being worn
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PPE worn if required<br>E.g. Safety footwear, dust mask, ear plugs, safety glasses, gloves
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Comments:
D: ELECTRICAL
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Leads on hooks or stands
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Power tools, leads and RCD boxes tagged and in good condition
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Comments:
E: HEIGHT SAFETY: BARRICADE / HANDRAIL / SCAFFOLD / WORK ON ROOFS
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Roof guard rail
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Safe use of ladders<br>i.e. industrial rated and in good working order
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All scaffolding ticketed
F: PLANT & EQUIPMENT (CRANE, BOOM, EARTH MOVING) & PRECAST - TILT UP PANEL
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Correct separation of public / workers and plant
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Plant and equipment being operated properly
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Rollover protection and fallout protection provided on plant
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PPE being worn
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Power line hazard
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Comments:
G: EXCAVATION & TRENCHING WORK & CONCRETE CUTTING / CORING WORK
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Excavations over 1.5m. If yes, are they battered
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Starter bars / star pickets have protective caps
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Penetrations / holes / trenches have adequate barricades / signs
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Comments:
