Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer

  • Installer

First Appearances

  • Has the installer discussed with the customer regarding safety and COVID-19?

  • Has the SWMS been completed?

  • Has Asbestos or Dangerous Wiring been detected?

  • Is Safety Rail being used?

  • Are there adverse weather conditions? Wind/rain?

  • Is the work area free of Tripping Hazards?

  • Is the stock/materials Stored Safely?

  • Are prohibited areas displayed with warning signs or barricades?

Van, Electrical and Equipment

  • Are leads and electrical equipment Tagged and Tested?

  • Are ladders in good condition?

  • Is the first aid contents orderly and stocked full?

  • Is the Fire-extinguisher available and tested?

  • Are there noticably broken plugs/sockets/switches etc.?

Roof Safety and Ladders

  • Are unsafe areas and fall risk areas defined?

  • Is there danger of falling objects?

  • Is the ladder extended 1 metre over the landing?

  • Is the ladder placed at correct angle (1:4)?

  • Is the ladder secured safely at the roof?

PPE (personal protective equipment)

  • Is sunscreen and sunglasses provided and warn if applicable?

  • Is appropriate safety footwear worn?

  • Is High-Visibility Clothing worn?

  • Is clothing and footwear in good condition?

  • Are face masks, gloves and other hygiene equipment available?

  • General notes

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.