General Questions

Did you attend or deliver a toolbox talk?

Are the workers all wearing the correct PPE?

Has a pre start been completed including a Take 5 or JSA risk assessment.

What exceptions are approved for the site?

Is the worksite located in the vicinity of live traffic?

Is the work being done safely under implemented controls that prevent vehicle impact to people?

Can work result in a fall from height or down a slope or excavation?

Is the work being done under height permit if there is no fixed edge protection in place?

Does the safe work documentation include the controls that are in place?

If an excavation, is there an excavation permit in place?

Does the activity involve electrical work?

Is there a permit for isolation in place?

Is the work being done under isolation?

Is there a trained LV rescue spotter with an LV rescue kit where there is any chance of exposure to live circuits?

Does the work involve temporary works or scaffolding?

Is the scaffolding certified/tagged as compliant?

Are employees required to work in and around mobile plant?

Are there any controls in place to prevent mobile plant interacting with people on the ground?

What are the communication protocols in place to contact plant operators?

Does the work involve mechanical lifting?

Is there a lift plan in place?

Is there protection around the work area to prevent people working under loads?

Are the employees working in and around live services including overhead and underground services?

Are there positive identification methods for conforming the location of services?

Are there clear markings, warning tape or other methods to ensure the services are identified and to warn people of their location?

Is work being undertaken in a confined space?

Is there a confined space permit in place?

Is there equipment to check the air quality of the space before entry?

Is there a rescue tripod or other rescue arrangements in place?

Does the work involved lead to fatigue issues, such as long driving distances?

Are workers working alone or in remote locations? If Yes, What controls are in place?

What other hazards are there on the site?

Are the above hazards being managed? Are they included on the work documentation?

Is the work being done safely with safe behaviors being displayed?

What are the possible environmental issues at the worksite?


Water pollution risks


Waste Management

Vegetation clearance


Protected flora and fauna

Cultural heritage

Are appropriate environmental controls in place?

Other items discussed, or other notes entered below.

Points of Merit

Point Of Merit



Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.