Job Observation Safety Checklist

• Council

• Employee/Department:

• Contractor

• Employee/Department:

• Location:

• Location
  Address

• Contact Person:

• Conducted on

  Date

• Assessment by:

• Tasks being undertaken

General Site Condition

• Secure Site?

  Yes

  No

  N/A

• Site tidiness?

  Yes

  No

  N/A

• Safe access & egress (worker/pedestrian)

  Yes

  No

  N/A

Pre-application

• Inducted & In date?

  Yes

  No

  N/A

• Pre-qualified & approved contractor?

  Yes

  No

  N/A

Plant

• Warning Devices Operational?

  Yes

  No

  N/A

• General Condition?

  Yes

  No

  N/A

• Guarded where needed?

  Yes

  No

  N/A

Procedures

• SWMS available for high risk tasks?

  Yes

  No

  N/A

• Compliance?

  Yes

  No

• Safe Work Procedures?

  Yes

  No

  N/A

• Work Permits?

  Yes

  No

  N/A

Fire Extinguisher

• Appropriate?

  Yes

  No

  N/A

• Available & in date?

  Yes

  No

  N/A

First Aid Kit

• Available & in date?

  Yes

  No

  N/A

Working from Heights

• Fall Protection/restraint equipment?

  Yes

  No

  N/A

• Ladders secured?

  Yes

  No

  N/A

• Labelled Industrial & 120kg?

• Scaffolding complete?

  Yes

  No

  N/A

Trenching

• Battering & shoring

  Yes

  No

  N/A

• Safe access & egress?

  Yes

  No

  N/A

• Aftercare signage and bunding in place?

  Yes

  No

  N/A

Tools & Equipment

• Leads tested?

  Yes

  No

  N/A

• Condition?

  Safe

  At Risk

  N/A

• Guards/safe to use?

  Yes

  No

  N/A

Traffic Management

• Traffic plan available?

  Yes

  No

  N/A

• Compliance with plan?

  Yes

  No

  N/A

• Safe to leave after hours?

  Yes

  No

  N/A

PPE&C

• PPE suitable for task?

  Yes

  No

  N/A

• Long sleeves/pants & hat worn?

  Yes

  No

  N/A

Action Taken:

• Action taken:

  Select Notified Team Leader of hazard Notified Contractor of hazard Notified Contractor Manager of hazard Suggest expert advice is required SAFETY breach - stopped work No action taken Notification to WorkSafe

  • Notified Team Leader of hazard
  • Notified Contractor of hazard
  • Notified Contractor Manager of hazard
  • Suggest expert advice is required
  • SAFETY breach - stopped work
  • No action taken
  • Notification to WorkSafe

• Site Notes: