Site safety staff attend required meetings

TBT is carried out and record is available

Safety personnel present at site

Sufficient coverage of safety personnel

Unsafe condition / act report

Permits and JSA are valid


Individual cylinder storage- upright/secured

Placed in safe location / away from traffic

Proper manual handling

Proper separation of oxygen/fuel gas

Leak test liquid available and used daily

Caps replaced when not in use


Emergency number is made known to all?

Workers know where the First Aid Room is

Evacuation route kept clear

Workers know what to do when alarms sounds

Workers understand the various alarms

First Aid Kit available at site


Are the operators trained?

Daily Pre-Inspection

Barricade in place

Vehicle Stability, operated from level firm ground (outrigger, pads etc.)

Good positioning of vehicle

Good housekeeping in bucket/ platform

Tool lanyards used

Workers do not use equipment as a means of access/ egress

Lower over-ride control operational/ practiced

Minimum of two men in basket

Boom retracted & lowered when driving


Workers understand WAH Procedure & 100% tie-off

Harness, Lanyards, Shock absorbers in good condition, inspected & color coded.

Workers wearing harness & lanyards properly

All surfaces have complete guardrails (handrail, midrails & toeboards/ permanent handrails)

Scaffolds/ work platforms not overloaded or with loose objects ?

Potential drop zones under work area barricaded to protect personnel from falling objects.

Tools & materials securely tied off

Life lines installed correctly and have current tag

Tripping hazards identified


Erect /dismantle by competent persons

Scaffold properly inspected / tagged

Workers understand Red Tag / Green tag system

Platform free of debris

Scaffolds not undermined by excavations

Guardrails and toeboards in place

Material in good condition - no damage

Mobile scaffold use - stationary / no riders

Scaffolds checked after adverse weather

Base plates on solid ground

Scaffolds clamps capped on work platforms

Complete decking is provided whenever possible & is of scaffold grade material, no wooden decking

Scaffolds are free of defects & built per specifications

Scaffold boards are secured


Shelter/ shaded area available

Drinking water readily available at work location

Frequent water consumption encouraged

Respiratory Protection Program in place

Standing water removed from site asap


Toilets clean and maintained regularly

Hand washing areas clean

Sufficient space for eating and resting

Hand washing facilities provided at eating areas

Vector control in place

Eating areas are clean & sanitary

Food waste stored in covered bins & removed on a daily basis


Banksmen for tele porters / forklift control

Seat belt use enforced

Tires, lights, etc. - maintained

Banksmen for truck reversing

Chocks used on trailers

Traffic regulations/speed limit enforced

Drivers give way to pedestrian traffic

No gaps / damaged boards in trailer bed


Operator qualified/certified

Regular inspection and maintenance

Blade/bucket lowered when not in use

Barricades around all swing radius

Back up alarm provided on all equipment

Signalman / Banksman in place and competent

Engine off when refueling


Site layout planned

Site access/egress provided and marked

Access provided over or around excavated areas, like trenches

General organization- areas clean, tool rooms, storage etc.

Walkways & passageways clear & free of tripping hazards.

Delivered materials used within 3 days/ Unused material removed from site

Hard Barricades provided where necessary, barricade tape used properly, one shift only

Electrical cords, hoses, welding leads, etc. elevated to prevent trip hazards.

Scrap material/ timber free of protruding nails or other puncture hazards.

Elevated areas maintained clear of debris, materials, tools etc.

Scrap or trash containers available & emptied regularly.

Butt cans free of combustible material & emptied routinely.

No litter found in the area


Ladders inspected before use

Correct Ladder design and use for task

Secured at top and/or base

Side rails extend 1m above top of platform

No standing on top three steps of step ladder

Ramps provided with handrail

Stairways properly built

Ladders not used as work platforms


Proper manual material handling

Material handling equipment is used to handle/ move material where possible.

Material handling equipment is labeled to identify load capacity.

Employee use gloves to protect hands when handling materials


Signalman only giving instructions to crane

Lift path/swing radius barriers in place

Safety latches (hooks)

Condition of wire ropes, slings, chains

Condition of shackles - no makeshift devices

Proper use of outriggers/supports

Taglines used and load well controlled

Inspection and maintenance-daily/monthly

Counterweight swing radius barricaded

Correct shackles for nylon slings used

Lift supervisor plans each lift properly

Crane trucks only used for unloading to ground

Assembly/ Disassembly Supervisor is competent & Qualified

Crane Assembly/ Disassembly Form signed off as required

Documented Pre-Lift Meeting is held

Operator/ Rigger/ Flagman are qualified

Crane outriggers fully extended & mats in use

Slings formally inspected quarterly & recorded

Rigger Gear (Plate Clamps, Lifting Beams, etc) marked with SWL

Load directed safely (does not pass over anyone)

Loads safely landed & blocked

Load charts are posted & utilized & operators manuals are available

Operator determines weight of load prior to performing lift


Head protection with chin strap

Eye protection - Mandatory

Eye protection worn for welding / grinding / chipping etc)

Foot protection

Hearing protection

Hand protection - Mandatory

Hand protection worn while handling sharps materials / chemicals / hot / etc

Respiratory protection

Proper clothing

Life Jacket used

Workers near heavy equipment operations wear high visibility reflective safety vests.


Correct voltage

Properly grounded

Properly guarded at all times

Condition of plug and leads

Inspection and maintenance - daily/monthly

Correct disc/speed/size/type

Power disconnected when cleaning or maintenance

No damage to electric leads


Correct tools for job & good condition

Correct use of tools

No makeshift / homemade tools

Workers understand the way to use the tool

Correct postion to use the tool safely

No banned tools in use or in tool boxes


Pressure valves and mufflers

Air pressure gauge in working order

Hoses and connections good condition

Hard barricade provided with signs

Daily check sheet complete and signed by competent person

Whip lines utilised

Name of responsible person clearly visible


Adequate fire extinguishers for hazards

Proper type and location

Fire watchers trained

Fire watches at correct locations

Inspection and maintenance - monthly

Fire extinguisher use reported


Mandatory eye protection used

Gauges removed during relocation

Condition of hoses

Correct respiratory protection used

Shields / spark catchers installed

Grounding - close to work station

Cable condition/Rollup

Equipment off when not in use

Machine frame grounded

Anti-Flash back arrestors - torch/gauge

Fire extinguisher immediately available & operable

Cables, cords, & hoses are elevated or protected to prevent tripping hazards

Compressed gas cylinders are labeled & stamped with current hydrostatic test date

Compressed gas cylinders are stored in purpose racks & valves capped

Regulator gauges are attached & in good condition

Compressed gas cylinder valves are turned off when not in use

Strikers are use to light torches

Welding rods are stored/ rod stubs placed in a container to prevent a tripping hazard

Compressed gas cylinders located outside of closed areas/ not exposed to slag or sparks


Distribution panel locked

All cables are elevated at least 2m

Plugboards must have covers

Warning signs posted/enforced

Distribution Panel with name of person responsible.

Barricades and signs correctly placed

Inspection by LEW

Outlets, receptacles, junction boxes are approved & maintained

Where electrical cables are suspended or secured, they are done so by using non-conducting materials

Temporary lighting installed as required using approved materials


Effective work force control (crime, violence, assault etc)

Effective control of tools & equipment (loss prevention)

Effective investigation of loss

Controlled access (gates & perimeter)

Enforcement of restricted areas

Control of transportation

Emergency response coordination

Evacuation drill conducted

Monitoring/ control of lightning shelters


1:25 ratio of HSE reps/ workers

Pre-job briefing to discuss night work expectations

High visibility retro-reflective safety apparel in use

High visibility retro-reflective signs used

Required lighting is provided for the work being performed

Lighting provided for all operations (no exceptions)

Work sites illuminated

Permanent lighting (Halogen) installed/ maintained

Cranes have load hooks & working areas adequately illuminated

Vehicle & equipment lighting operable (headlights, taillights, backup lights, rotating beacons)

Flashlights available

Clear protective eyewear used

Traffic Control Persons used as appropriate

Workers alert, not fatigued, drowsy, sleeping


Spill Cleanup kits available where required

Waste material containers labeled/segregated

Waste Skips not overflowing

Mosquito Prevention

Timely water pumping / sedement traps used

Correct Storage of hazardous chemicals

Safety Data Sheets (SDS) in place

Dust Controls

Secondary containment in place & of appropriate volume

Workers trained in spill clean-up

Prompt reporting of spills

Vehicle maintenance washing in approved areas

Proper disposal of materials & chemicals

Declaration of toxic / hazardous materials delivery

WSH Personnel
Contractor Representive
Contractor Representive

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.