Title Page

  • Site conducted

  • Client

  • Site Address

  • Site Supervisor

  • Contract Number

  • Conducted on

  • Prepared by

  • Type of work

  • Plan of Work, ASB5 and Relevant Certificates (license, insurance and waste)

  • Site Pack all current

  • Site paperwork complete up to date (including amendments)

  • Inductions completed for persons on site (inc toolbox talks)

  • Personnel (certificates, RPE)

  • Decontamination unit (clean, working, in service dates)

  • Enclosure (correct and in good condition)

  • Are we maintaining 100% enclosure vision?

  • Work being conducted in accordance with POW/regulations?

  • Plant and equipment (condition/fully operational and certification available)

  • Welfare is suitable for the project and fully avaliable

  • Vehicles and skips (cleanliness,waste carriage, plant storage)

  • Fire controls in place?

End

  • Comments?

  • Signed by author

  • Signed by supervisor

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.