Leadership safety walk - MCD - duplicate

• Project Name/Contract number

• Principal contractor representative (include company name and personnel spoken to)

• Sub contractor/s on site today (if applicable) (include company name and personnel spoken to)

• Contractor OH&S representative (if present)

• Location
  Address

• Prepared by

• Conducted on

  Date

• Overall weather conditions

• DoT staff in attendance (include names)

• Activities being undertaken on site today

• Is appropriate PPE being worn by workers on site?

  Yes

  No

  N/A

• Did you encounter powered mobile plant during the site walk?

  Yes

  No

  N/A

• Is there traffic management set up on site?

  Yes

  No

  N/A

• Are pedestrians, cyclists and wheel chair access being catered for on site?

  Yes

  No

  N/A

Please record any other observations from your site walk below

• undefined

• What is your overall assessment of the site?

  Good

  Fair

  Poor

  N/A