Information

  • Conducted on

  • Project Name and/or Job Number

  • Site Address

  • Inspected by

  • Nautical Supervisor

  • Nautical Contractor

  • Location
  • Document No.

GENERAL

  • SWMS on site and adequate for purpose?

  • SWMS has been signed by all workers?

  • Are there any young or inexperienced workers and has the Form been filled in?

  • Pre-start toolbox forms up to date?

  • Induction toolbox completed by all workers?

  • Have Plant Risk Assessments been done for all EWPs?

  • Guard Rail Handover Certificate/s completed?

  • Safety Mesh Handover Certificate/s completed?

  • ITP's up to date / completed?

PPE - (on, up to date and in good condition)

  • Hard Hats

  • Steel Cap Boots/shoes

  • Suitable Gloves

  • Safety Glasses

  • Hearing Protection

  • Face Masks (if grinding etc)

  • Sunscreen

  • First Aid Kit

ELECTRICAL

  • Electrical register up to date?

  • All electrical items tagged and in date?

FALL PROTECTION EQUIPMENT

  • Harness Register up to date?

  • All workers have Working At Heights tickets?

  • All equipment tagged and in good condition?

  • Suitable anchor plates / static lines in use?

  • Suitable fall protection / fall restraint system for desired use? (pendulum effect etc)

  • Rescue Kit on site and accessible?

  • Workers trained in use of Rescue Kit?

  • If rescue with crane required, has it been tested and recorded?

LADDERS / TRESTLES / MOBILE SCAFFOLDS

  • Industrial extension ladders for access or light duties only (<7.5m)?

  • 3 points of contact at all times on ladders?

  • Trestles, double planks, clamps, handrail set up correctly (<5m)?

  • Mobile scaffold set up as per specifications (<4m)?

  • If over 4m, person erecting has a scaffold ticket?

  • Suitable for the task (height, width, load rating)?

ROOF ACCESS / EDGE PROTECTION

  • Industrial ladder, secured at top, 1m past roof (<7.5m)?

  • Suitable scaffold stairs?

  • Complete scaffold system - correct deck height & handrail?

  • Guard Rail complete - with access point/s?

  • Suitable visual barrier / exclusion zones in place and maintained?

EWP

  • Only licensed operators using EWP?

  • Log books filled out daily?

  • EWP pre-starts up to date?

  • Correct PPE worn for EWP?

  • Exclusion Zones needed and maintained?

  • EWP is adequate for the job?

  • EWP is being used correctly and within load limits?

POWER LINES

  • 3m exclusion zone being enforced near all Low Voltage Power Lines, including plant, ladders, scaffold, handrail?

  • Has an Energex Safety Advice been obtained if the 3m exclusion zone needs to be breached?

  • Has an electrician been notified/used to kill the power if 1m exclusion zone needs to be breached?

ASBESTOS

  • Have all notifications been completed (Form 65, consultation with neighbours)?

  • Has a Clearance Inspection been organised / completed?

  • All workers have the correct tickets (removal, supervisor, license #)?

  • Control Plan on site and filled out correctly?

  • Asbestos Register completed or up dated?

  • Controls in place?

  • Exclusion zones - Barrier / fence?

  • Signage on all entry and exit points?

  • Plastic, bags, tags, rags, tape etc?

  • Decontamination wash down area / shower?

  • Industrial Hepa Vacuum with spare bags?

  • Adequate PPE?

  • P2 Respirators with spare cartidges?

  • Safety glasses?

  • No work clothes on beneath overalls (just board shorts or similar?)

  • Disposable overalls?

  • Rubber boots?

  • Rubber gloves?

  • No power tools - unless they are dedicated to asbestos work and stored correctly?

  • All areas wiped, or vacuumed down?

  • All areas sealed with Bondcrete?

  • All tools, boots, gloves, vacuum wiped down?

  • All rags, overalls, vacuum bags, asbestos - bagged, tagged and disposed of with licensed operator?

HOUSEKEEPING

  • All materials on the roof are secured with metal strapping?

  • All materials on the ground are stacked neatly and secured?

  • Are all exclusion zones on the ground erected and maintained (EWPs, Falling objects, around materials)?

  • All rubbish cleaned up daily and placed in bins?

NOTES

  • Enter any extra information here

  • Additional photos

SIGNATURES

  • Safety Inspector

  • Nautical Supervisor

  • Nautical Contractor Representative

  • Site Manager / Representative

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.