Information
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Client / Site
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Conducted on
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Inspection/Audit conducted by
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Location
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Personnel on site
Site Inspection
Site Details
Work Areas
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JSA prior to work commencing?
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Hazards been identified and control actions identified?
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Fire extinguishers on site and compliant?
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Incident/Injury/Illness procedures implemented & forms onsite?
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First aid kit onsite and fit for purpose?
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Trained first aid personnel onsite?
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Emergency communication available?
Personal Protective Equipment (PPE)
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Hard Hats (if applicable, worn by crew and in safe condition)
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Hi Vis Garment (available, worn by crew and in good condition)
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Eye protection (available, worn by crew and in safe condition)
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Sun protection (available, worn by crew and not using expired product)
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Respiratory Protection (available, worn by crew and in safe condition)
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Hearing Protection (available, worn by crew and in safe condition)
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Appropriate Clothing (in safe condition)
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Gloves (available, worn by crew and in safe condition)
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Appropriate footwear (fit for task, worn by crew and in safe condition)
Signs
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Site Signage is appropriate and in place
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Site Signage is in good condition and complaint
Tools and Equipment
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Vehicle(s)/Plant on site:
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Vehicle(s)/Plant certified i.e., WOF, COF, Reg, RUC?
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Plant is in good condition, safe for use
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Drivers/Operators(s) trained and licensed to operate vehicles and plant?
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Crew members are trained to be competent in the tools and appropriate for their work tasks?
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Standard Operating Procedures are in place for plant?
General Comments
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
Sign Off
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Name & Signature of Inspector
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Name & Signature of Site Supervisor / Foreman