Title Page

  • Site conducted

  • Host Company

  • Host Representative

  • Inspected by

  • Date & Time

  • Site Location

Site Induction & Pre-start

  • Are Toolbox/Pre-start inductions conducted? How frequently?

  • Is the apprentice adequately supervised? By who?

  • How are apprentices informed on OHS issues & the level of responsibility required of them?

  • Does the site have a first aid officer?

  • Additional Information

General Work Environment

  • Are all work areas adequately maintained, clean and orderly?

  • Is debris and waste stored safely and removed from the worksite promptly?

  • Are fire extinguishers easily accessible, clearly marked, tagged and up to date?

  • Are first aid kits easily accessible, clearly marked and up to date?

  • Are hazardous substances clearly labelled and safely stored?

  • Is there a folder/software system of MSDS for substances used on site?

  • Are all personnel informed of site emergency management procedures?

  • Additional Information

Personal Protective Equipment

  • Are all protective equipment maintained in a sanitary condition and ready for use?

  • Are workers provided with the appropriate PPE for their job?

  • Are hard hats provided and worn where danger of falling objects exists?

  • Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?

  • Is all working at heights equipment inspected and maintained?

  • Additional Information

Scaffold

  • Wheel locks are properly used on mobile scaffold

  • Frames, bracing, and guard rails are all in good condition.

  • Ladders are secured

  • Toe boards used; platform is secured

  • "Safe to Use" or "Unsafe to Use" utilized when needed

  • Additional Information

Electrical

  • Main board can be locked and is weatherproof

  • Leads are safely placed and lead stands utilized

  • All electrical equipment/ plant are in good condition? How often are they inspected? Tags currently up to date?

  • There are appropriate guards on electrical equipment/ plant

  • There is adequate emergency lighting

  • There is no faulty wiring or damaged electrical equipment

  • Additional Information

Walkways

  • Are aisles and passageways kept clear? And marked appropriately?

  • Are holes in the floor, sidewalk or other walking surface repaired properly, covered or otherwise made safe?

  • Are wet surfaces covered with non-slip materials?

  • Additional Information

Hand and Power Tools and Equipment

  • Are employees made aware of the hazards caused by faulty or improperly used hand tools?

  • Are tools and attachments inspected and maintained?

  • Are tools stored in dry, secure location where they won't be tampered with?

  • Is damaged equipment replaced promptly or isolated to prevent unauthorized use?

  • Are rotating or moving parts of equipment guarded to prevent physical contact?

  • Are power tools used with the correct shield, guard or attachment recommended by the manufacturer?

  • Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task?

  • Additional Information

Injury, Accidents & Near misses

  • Is there are Register of Injuries available to labour hire contractors?

  • Are all injuries, accidents and near misses reported back to labour hire contractors and MAG Management?

  • Who is responsible for the management of injuries, accidents and near misses on site?

  • Additional Information

Completion

  • MAG WHS Coordinator/Authorized Person

  • Host Employer Contact Person

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.