Title Page

  • Document Number - MWP000-MD-HS-CKL-0001 Rev A

  • Record Number

  • Project Area.

  • Location
  • Subcontractor.

  • Conducted on

  • Inspected by.

  • Supervisor.

HEALTH & SAFETY DOCUMENTATION

  • PW1. Location and details of the nearest medical centre and hospital is displayed?

  • PW2. Health and Safety Representative, including name and photograph displayed?

  • PW3. OH&S, Rehab, Enviro, Quality, Fitness for Work policies displayed?

  • PW4. "If you are injured" poster displayed?

  • PW5. Emergency Response Procedure & contact list displayed?

  • PW6. Location of muster points displayed?

  • PW7. Daily pre-start conducted and signed?

  • PW8. Daily pre-start filed in Project Pack Web (PPW)

  • PW9. TRA completed, workforce have signed-on, and is available at work location?

  • PW10. Completed TRAs filed in PPW?

  • PW11. GMR Posters displayed?

  • PW12. GMR Assessments are being completed, and cover extent of risks applicable to site?

SITE AMENITIES

  • SA1. First Aid kits available and adequate?

  • SA2. First Aid treatment records available in the First Aid Room?

  • SA3. First Aid Attendants displayed?

  • SA4. Toilets (male & female) are available?

  • SA5. Amenities clean and maintained?

  • SA6. Spill kit present and easily accessible?

  • SA7. Fire fighting equipment tagged & current (within 6 months)?

  • SA8. Fire fighting equipment register in PPW?

  • SA9. Waste disposal facilities available?

PERSONNEL

  • P1. Personnel on site have completed the project induction?

  • P2. PPE requirements being met?

  • P3. Current induction sticker visible (if applicable)?

  • P4. First aider(s) on site?

  • P5. Any other PPE required (site/task specific)?

  • P6. START CARDS completed?

HOUSE KEEPING & ENVIRONMENTAL MANAGEMENT

  • H&E1. Site clean and tidy?

  • H&E2. Waste disposal with bins and recyclables separated?

  • H&E3. Site environmental plan (SEP) displayed?

  • H&E4. Heritage sites barricaded and signage in place?

  • H&E5. Sensitive vegetation barricaded and signage in place?

  • H&E6. Erosion / Sediment control in place, adequate and maintained?

  • H&E7. Soil stockpiles > 10m from watercourses?

  • H&E8. Refuelling > 20m from watercourses?

  • H&E9. Dust suppression adequate?

  • H&E10. Noise / vibration / odour controls adequate?

EXCAVATION AND TRENCHING

  • E1. Excavation and trenching permit in place & current?

  • E2. Excavation and trenching secured / falls into trench prevented?

  • E3. Trench benched, battered, shored or shields are adequately?

  • E4. Safe means of entry and exit?

  • E5. Barrier and signage to protect workers and public?

  • E6. Spoil or materials not placed within 1m of excavation edge?

  • E7. Daily trench inspection documented?

MOBILE PLANT

  • M1. Daily plant prestart check completed?

  • M2. Plant prestart records completed?

  • M3. Fixed fire extinguisher charged and tagged (within 6 months)

  • M4. Operable flashing beacon, reverse alarm, UHF radio?

  • M5. Risk assessment, operator manual & service records available & current?

  • M6. Operator competent / licensed / VOC'd?

  • M7. Plant authorisation sticker valid?

WORKING AT HEIGHT

  • H1. Ladders secure and only only used for access/egress (unless platform ladder)?

  • H2. Scaffolds tagged and inspected (monthly)?

  • H3. All floor penetrations covered or barricaded?

  • H4. All work platforms have secure handrails, toe boards, guarding or fence panels?

  • H5. Protection of workers below/falling objects?

  • H6. Harness and lanyard provided, tested / tagged?

CONFINED SPACES

  • C1. Confined space entry permit?

  • C2. Rescue Retrieval Plan in place?

  • C3. Gas testing and ventilation conducted?

  • C4. Six Gas testing setting as per MW Procedure (sewer access only)?

  • C5. Spotter / standby present and trained / certified?

  • C6. Emergency procedures in place?

  • C7. Emergency rescue equipment readily accessible?

SMALL TOOLS & EQUIPMENT

  • ST1. Electrical tools and leads tested and tagged (3 monthly)

  • ST2. Electrical leads elevated and insulated from metal objects?

  • ST3. Extension leads single length only?

  • ST4. RCDs fitted and tested Monthly (check site sheds)?

  • ST5. Portable tools in good condition & OK for use (no 9 inch grinders)?

  • ST6. Leads, plugs, sockets, and switches in good condition?

LIFTING AND RIGGING

  • L1. Crane Safe green striker (current 12 months)

  • L2. Lift study completed for critical/medium lifts?

  • L3. Rigging gear in good condition. SWL marked?

  • L4. Rigger/dog man certified & used for slinging loads?

  • L5. Lift areas delineated and clear of persons?

  • L6. Rigging equipment tested and tagged and stored correctly?

WELDING AND HOT WORKS

  • W1. Hot work permit available (if required)?

  • W2. Flash back arresters, flash protection & weld curtains?

  • W3. Fire extinguisher / fire blankets near work area?

  • W4. Gas bottles secured and stored separately?

TRAFFIC MANAGEMENT

  • TM1. Traffic management plan (TMP) displayed?

  • TM2. Are safety barrier units connected. And filled with water where required?

  • TM3. Is the 2/6/12m (40/60/80km) rule being applied?

  • TM4. Traffic management controls in place as per TMP?

  • TM5. Condition of road (potholes / water pooling > 500mm deep, oil, mud, debris)?

HAZARDOUS SUBSTANCE & DANGEROUS GOODS

  • HD1. SDS available and up to date (< 5 years)?

  • HD2. Product being used in accordance with SDS?

  • HD3. Appropriate type, location and quantity of spill containment available?

  • HD4. Containers labelled correctly?

  • HD5. Stored appropriately (classes, ventilation, etc)?

  • HD6. Appropriate emergency / first aid equipment - shower, eye bath extinguishers available?

LASER EQUIPMENT

  • LE1. Class 1 Laser Equipment (covered in TRA)?

  • LE2. Class 2 Laser Equipment (Covered in TRA)?

  • LE3. Class 3 R Laser Equipment (requires specific TRA & Laser Safety Officer)?

  • LE4. Class 3 B Laser Equipment (banned on MWCD sites)?

QUALITY ASSURANCE

  • Q1. ITP available for the work and is being completed progressively?

  • Q2. Equipment used for inspection & test is calibrated?

  • Q3. Design documentation and specifications in use are the latest version, compare to Aconex?

  • Q4. Materials are labeled, and are traceable to a purchase order?

  • Q5. Material and finished product is adequately protected from damage?

  • Q6. Sampled completed Work Lots contain all required quality supporting documentation required by the ITP?

  • Q7. Structural welding activities are being performed by a qualified welder, to a qualified procedure, and inspected by a qualified welding inspector. NDT is being performed in line with the weld procedure?

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