Information

  • Conducted on:

  • Conducted by:

  • Site:
  • Location/Area

Overall Observations

  • Visual Impact:<br>Select your overall first impression. Add photo(s) and comment as necessary.<br>Consider - Corporate identity, consistent signage, security, access/egress etc.

  • House Keeping & Waste:<br>Select according to your observations. Add photo(s) and comment as necessary.<br>Consider - Cleanliness, tidiness, sufficient bins, segregation of waste etc.

  • Occupational Health:<br>Select according to your observations. Add photo(s) and comment as necessary.<br>Consider - Hearing protection, HAVs and trigger times, manual handling, respiratory protection etc.

  • HIT Cards:<br>Select according to your observations. Add photo(s) and comment as necessary.<br>Consider - Site champion, you said-we did boards, information feedback, trend spotting etc.

  • Worker Engagements:<br>Select according to your observations. Add photo(s) and comment as necessary.<br>Consider - STARRT briefings, forums, BBS, screens, posters etc.

Select an operation and complete the following:

  • Operation:

  • Site/Location:

Questions to Operative

  • Operative Name:

  • Employer:

  • Have you received a STARRT briefing?

  • Have you contributed to your safe system of work?

  • Have you received BBS 3 training?

  • Have you attended a TBT this week?

  • Have you completed a HIT card this week?

  • Do you know who your Supervisor is on site? If so, what is their name?

  • Have you received any formal training since you arrived on the project? If so, what?

  • Have you been made aware of any safety alerts recently?

Questions to Site Supervisor

  • Supervisor Name:

  • Supervisor Employer:

  • Do you change or adapt the STARRT briefing?

  • Is there an approved method statement for this operation?

  • Is it being followed?

  • We're you involved in compiling the method statement?

  • Have you attended BBS 2 training?

  • Have you delivered a TBT this week?

  • Do you encourage operatives to raise HIT cards?

  • Have you completed a HIT card this week?

  • Do you use any other method for communicating safety? If so, what?

  • General Comments and Summary:

  • Signature (s) of 'Leaders':

  • Signature (s) of 'Leaders':

  • Signature (s) of 'Leaders':

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.