Information

  • Division

  • Site Job Number

  • Location
  • Report Number

  • Safety Advisor

  • Safety Firm

  • Conducted on

  • Person Seen

  • Work Activities

  • No. Operatives on Site

  • Weather Conditions

General Information

  • F10 Displayed

  • Site Registers

  • First Aid Box & First Aider

  • Accident Book

  • Welfare Facility

  • Fire Extinguishers

  • Safety Policy Displayed

  • Employers Certificate

1. Working at Height

  • Recommendations

  • Score

  • Photos

2. Other work Activities and PUWER

  • Recommendations

  • Score

  • Photos

3. Traffic Management, Mobile Plant and LOLER

  • Recommendations

  • Score

  • Photos

4. Protection to/from Others and Site Security

  • Recommendations

  • Score

  • Photos

5. Health, Manual Handling and PPE

  • Recommendations

  • Score

  • Photos

6. Housekeeping

  • Recommendations

  • Score

  • Photos

7. Environmental issues and Waste

  • Recommendations

  • Score

  • Photos

8. Emergency Arrangements

  • Recommendations

  • Score

  • Photos

9. Welfare Arrangements

  • Recommendations

  • Score

  • Photos

10. Administration and Training Requirements

  • Recommendations

  • Score

  • Photos

Sign Off

  • Site Manager / Representative

  • Safety Representative

  • Select date

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.