Information

  • Contractor

  • Job Location

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Induction Details

  • Are all staff inducted to be on site and displaying their contractor ID?

  • Optional: Take photo of work site

1. Working at Heights

  • 1.1. Have all risks of fall been identified? (including voids, pits, and trenches)

  • 1.2. Are all the identified controls implemented?

2. Plant and Equipment

  • 2.1. Is all plant/equipment in good working order (including missing or damaged guards)?

  • 2.2. Is the correct plant /equipment being used for job? (e.g. grinding discs for cutting)

  • 2.4. Are all persons qualified and competent to operate equipment?

  • 2.8. Is all equipment on site in Service? (Are leads tagged, have harnesses been tagged)

3. Scaffolds

  • 3.2. Is the scaffold complete and are appropriate scafftags attached where required?

  • 3.5. Are Safe Work Loads (SWL) displayed and adhered to? (tools, stored materials, number of persons)

4. Ladders

  • 4.1. Have ladders been inspected/ maintained?

  • 4.2. Is ladder set up safely and secured ( e.g is the ladder tied off, is there a stable base footing the ladder?)

  • 4.3. Is the Ladder suitable for job? (e.g. metal ladder used for electrical work)

5. Hazardous Chemical (including fuel and oil)

  • 5.1. Are all chemicals stored in a safe location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 5.2. Is there adequate spill containment equipment?

  • 5.3. Are Safety Data Sheets accessible on site and available?

  • 5.4. Is there emergency procedures for injury/spills/fire etc?

  • 5.5. Is there sufficient and correct, PPE?

  • 5.6. Is the equipment in suitable storage containers? (unlabeled or stored in food containers)

6. Emergency Response

  • 6.1. Are the Emergency procedures known to all and documented?

  • 6.2. Is there available first aid kits for site?

  • 6.3. Are there formally trained First Aiders for all shifts?

7. Traffic Management

  • 7.1. Is there an adequate Traffic Management Plan (TMP) in place?

  • 7.2. Are all persons on site aware of the TMP?<br>(contractors and visitors)

  • 7.3. Are there sufficient controls available for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

8. Personal Protective Equipment (PPE)

  • 8.1. Is there adequate PPE (including sun protection)

  • 8.2. Is there a system to issue, inspect, replace and monitor PPE?

  • 8.3. Is there training in the safe use, clean-up and inspection of PPE?

9. Work Environment

  • 9.1. Are staff aware of appropriate amenities? (toilets, wash areas, lunch rooms, etc)

  • 9.2. Is there sufficient lighting for the works?

  • 9.3. Is there adequate housekeeping?

  • 9.4. Is there adequate noise/ vibration control?

10. Electrical Hazards

  • 10.1. Are all electrical leads safe ( not damaged, in test date or tested)?

  • 10.2. Is there RCD protection?

  • 10.3. Are Leads placed appropriately ( not on ground or on metal structures)?

  • 10.4. Are there Lock-out/tag-out (LOTO) procedures for electrical equipment and have they been implemented where required?

11. Environmental Hazards

  • 11.1. Is there an adequate dust control system?

  • 11.2. Is there adequate controls in place for run-off/ environmental spills

12. Administrative Procedures

  • 12.1. Have the necessary permits (Council, EPA, WHS, also Hot Works, Confined Space etc) been obtained?

  • 12.2. Have all inductions been completed for workers, contractors, visitors?

  • 12.3. Are there adequate Safe Work Method Statements (SWMS) for high- risk work?

  • 12.4. Are there adequate systems to review SWMS as needed?

Corrective Actions

  • Enter any corrective actions that will be undertaken

  • Enter any additional comments or positive Observations.

Sign Off

  • On site representative

  • Auditor's signature

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.