Title Page

  • Prepared by : Supervisor & site name

  • Location
  • Please list engineers on site today

  • Please add pictures of all engineers wearing correct PPE

  • Have you received RAMS to cover your works on site today?

  • Please raise with your Project Manager to obtain the correct documentation before you start work

Before You Start Work

  • Have you received induction training?

  • Please select installation type

  • Do you have all your utility searches/drawings?

  • Please call the office with immediate effect

  • Do you have the relevant permit for your work area?

  • Please call the office with immediate effect

  • Do you know the company’s health & safety rules?

  • Asbestos: have you checked the Asbestos Register? N/A Post Year 2000

  • Do you have the correct procedures and equipment to do the work safely?

  • Are there emergency facilities and an evacuation procedure/route for the site?

  • Do you have access to a First Aid Kit?

  • Please add an image of your current working environment / site set up

  • Do you have all necessary PPE?

  • Are your ladders and other access equipment in good working order and have correct tags?

  • Please notify the office ASAP

  • Are all your tools in a good safe working order?

  • Please notify the office ASAP

  • Does your work require a GDU and is this within calibration date?

  • Please notify the office ASAP

  • Are you familiar with how to report hazards & incidents?

  • Have you got a safe way of getting in and out of your work area?

  • Have you consulted with Engineers about the task and the safe way to do it?

  • Have you assessed your work area for hazards?

  • Does your work require dust suppression?

  • If any, what new hazards have you identified?

  • Should a new hazard be identified that's not covered within your RAMS, please complete a POWRA inspection, speak to you PM prior to completing this

  • Remaining risk level following control measures implemented

Sign Off

  • Supervisor

  • Sign off

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.