Title Page

  • Site Name/Client Name

  • Location
  • Conducted on

  • Inspected by

Site access clear

  • Access to work areas clear and safe

  • Safety fences secure

  • Site facilities clean and hygienic

  • *Safety signage displayed clearly and up to date

  • Under ground and overhead services clearly marked

  • Work areas tidy, organised, clutter/rubbish free

  • Slip, trip and fall hazards minimised

  • Loose materials secured

  • Waste disposed of correctly

  • *Signage includes entry, exit, hazard boards, hazardous substances, PPE requirements, restricted areas, danger and warning, directional, traffic

Personnel Onsite

  • All personnel onsite have completed an Induction

  • All personnel onsite have signed in

  • *All personnel are wearing required and appropriate PPE

  • All personnel are appropriately trained, and Competency register is up to date

  • **Safety meetings held regularly

  • *PPE must be clean and hygienic, fit for purpose, current, and worn correctly

  • **Minutes of meetings sighted

Plant, Equipment and Vehicles

  • SOP/JSA/Permit to Work approved (where applicable)

  • Vehicles, equipment, and tools correct for the task and being used safely

  • Vehicles, equipment, and tools onsite all well maintained and in good condition

  • Certifications, registrations, warrants, and servicing requirements current

  • Vehicle checks completed

  • All equipment and tools visually checked before use

  • Guards in place and in good condition

  • Equipment, and tools all stored correctly when not in use

Electrical

  • Hidden cables located and marked

  • Minimum approach distances (4m) maintained from power lines

  • All electrical leads tested with current tag, and checked before use

  • Damaged leads removed from site

  • Leads not presenting trip hazard

  • RCD used when required

Height Work

  • JSA completed and approved by site management (including identification of overhead services)

  • Notifiable work reported to WorkSafe and Emergency Response Plan in place

  • Personnel trained and competent to work at height

  • Fall protection or scaffold in place

  • Scaff - Temporary and fixed scaffolding safe for use, has current tag and is regularly checked

  • Scaff - Handrails, mid railing, gates, and kick boards in place

  • Scaff - Platforms safe (min 3 planks wide secured) and kept clear of trip hazards

  • *Scaff - Ladder access adequate and well secured

  • Safety nets in place, installed by competent person, safe, tagged and regularly checked

  • Exclusion zones in place

  • Harnesses checked and serviced to legal requirements, and checked prior to use

  • *Ladders (industrial, rated to 150kg only) in good condition, secured and stays used, operator minimum of 2 steps down

  • *Extension ladders ratio against structure (4:1) and at least 1 metre past platform level

Cranes and Lifting Equipment

  • JSA/lift plan completed and approved by site management (including identification of overhead services)

  • Notifiable work reported to WorkSafe and Emergency Response Plan in place

  • Personnel trained and competent

  • Cranes, MEWP, Hiab’s set up on stable ground and prestart checks completed

  • Exclusion zones and safety observer (dogman) in place

  • Crane/sling/chain/MEWP certification current and available

  • Lifting equipment in good condition

Excavation

  • JSA and permit to dig completed and approved by site management (including identification of underground services)

  • Notifiable work reported to WorkSafe and Emergency Response Plan in place

  • Excavations shored/benched/battered

  • Loads (including soil, equipment and vehicles) held at an adequate distance from the edge

  • Excavations fenced/barriered to prevent access and falls

  • Safe access and egress routes available

Hazardous Substances

  • Inventory and Safety Data Sheets readily available

  • Substances stored and labelled correctly

  • Fuel sources and combustibles removed from hot work areas

  • Signage displayed onsite

  • Only trained operators to access

Emergencies

  • Site emergency procedures up to date and displayed

  • First aid kits and fire extinguisher available in all vehicles onsite

  • First aid kits checked, current and fully stocked

  • First aiders onsite

  • Fire extinguishers serviced and within certification date

  • Incident register and investigations up to date

Sign-off

  • Inspector:

  • Signed:

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