Title Page

  • Conducted on

  • Contractors

  • Subcontractors

  • Projects

  • Prepared by

  • Location

Attended By: Name / Company / Function

    Name/ Company/ Function

Questions

General Site Safety

  • Are all EHS requirements posted?

  • Are EHS performance results displayed and updated regularly on a status board/panel?

  • Is the panel secured and placed in a conspicuous and strategic area?

  • Are all hoardings/separations/fencing securely in place and site secured from unauthorized access?

  • Are personnel using designated routes to the work areas?

  • Is there sufficient directional and warning signage in place (fire, escape routes, pedestrian routes, traffic etc.)?

  • Are appropriate areas segregated to protect pedestrians from vehicles?

  • Do site vehicles have flashing beacons and reversing sirens that are operational?

  • Is the general housekeeping to an acceptable standard?

  • Have all site operatives/workers completed safety induction? - Sample one or two of the workforce with each safety inspection and check records

  • Are waste materials removed from the work area on a regular basis and not allowed to accumulate?

  • Is the site free of trip or slip hazards?

  • Other

Permit To Work

  • Is a valid General Permit present?

  • Is (Are) valid specific high risk activity permit(s) present?

  • Did all site operatives/workers sign the permit(s)?

  • Do all site operatives/workers know the safety rules and respect them?

  • Did the Area Responsible Person check the area at start of work?

  • Have permits correctly been distributed (org. in the field)?

  • Have permits correctly been extended?

  • Has daily sign-in been completed?

  • Were all permit documents removed after the work was completed?

  • Is the work considered to be routine job performed by embedded contractor

  • Other

Working at height (Scaffolding, Ladders, Working at Height, Working Platforms,...)

  • Working at height is done in a safe way?

  • Is the scaffold erected correctly with guard rails and toe boards at the correct height, footed correctly and bracing in place?

  • Is the scaffold inspection tag in date?

  • Have the wheels of tower scaffolds been locked when in use and are the platforms empty when they are moved?

  • Are persons working/underneath work at height/supervisors/exclusion zones in place?

  • Are ladders set at the correct angle (65°-75°) secure and extend at least 1 meter above the platform?

  • Are ladders used for short duration/low risk activity only?

  • Are edges which people could fall from provided with double guard rails or other suitable edge protection?

  • Are railings installed consistently at standard heights (min. 1000 mm with a mid-rail set a 500 mm of the floor)?

  • Are holes protected with clearly marked and fixed covers to prevent falls?

  • Are harnesses attached to a life line (preferably above the working area)?

  • Are harnesses used by all working personnel in a mobile elevated platform (MEWP ) / aerial platform

  • Are materials stored at height, stored correctly and secured?

  • Are working platforms in accordance and in conformance with the approved proposal / design?

  • Are no obvious changes made to the platform after it was approved?

  • Other

Lifting and hoisting activities

  • Is a permit for critical lift being issued and are all requirements stated in the permit strictly applied?

  • Is there an exclusion zone around the loading/unloading area to keep people who are not involved away from the work?

  • Are pre-use inspections completed by operators?

  • Is a banksman/spotter required and provided for the lifting operations in progress?

  • Are all certificates of the lifting devices and equipment checked and valid?

  • Are all certificates of the operator checked and valid?

  • Other

Excavation

  • Is the excavation segregated and protected?

  • Is shoring/batter required, if so is it in place?

  • Is safe access provided into deep excavations? Is more than one access (and exit) installed?

  • Have all existing live services been identified & isolated?

  • Is an approved Permit to Dig in use and available for inspection? Are all requirements strictly applied?

  • Has the permit been signed off by all relevant parties?

  • Are the operatives aware of the permit requirements?

  • Other

Fire and Emergency Management

  • Are fire extinguishers properly placed, in accordance with the local legislation and readily accessible?

  • Are fire extinguishers fully charged and sealed?

  • Are all combustibles removed or protected ?

  • Are fire exit routes properly identified and posted on strategic locations?

  • Are exit routes and emergency exits free from obstruction?

  • Are workers aware of the emergency procedures? - Sample at least 2 persons

  • Does the contractor know what to do in case of an accident?

  • Does the contractor know the emergency procedure? Are evacuation exits free? Is the assembly location known?

  • Are specific department instructions known?

  • Other

Electrical/ Lightning

  • Access to Distribution Boards/Cupboards/Enclosures is prevented, the access door is labelled ' Authorized only' and only authorized operatives allowed to enter under Permit?

  • Mains power/services is isolated (LOTO) wherever possible prior to works starting, services that need to remain live are appropriately highlighted and labelled?

  • Is the temporary electrical installation on the construction site installed in accordance with local legislation and inspected by a notified body?

  • Are appropriate lighting levels maintained to all access/escape routes with provision for task lighting as required?

  • Do temporary electrical panels, electrical cables, cords and power plugs have a minimum protection of IP44?

  • Are cables and cords in good condition - Are cables protected from damage?

  • Are all extension cords, wires, cables elevated overhead and located in safe areas?

  • Are all equipment's turned off / shut off after usage and /or during coffee breaks?

  • Other

Hot Work

  • Are permits secured and all requirements stated therein strictly applied?

  • Only competent/ authorized personnel operates and performs welding works and other hot work?

  • Are all cables, wires, hoses and other accessories in good working conditions?

  • Are heat resistant gloves, welding helmets, leather aprons or non flammable work clothes provided and worn correct and consistently?

  • Is a fire extinguisher available/present at the work zone?

  • Are gas cylinders stored in a trolley / rack and secured in the upright position?

  • Are flame arrestors installed (between cylinder and regulator), (between regulator and hose), (between hose and torch)?

  • Are all hoses in good condition and regularly inspected for cracks, leaks, etc. ?

  • Are all gauges operational and in good working conditions?

  • Other

PPE - Personnel Protective Equipment

  • Is the correct level of PPE worn by all operatives?

  • Safety shoes (or boots)

  • Safety Helmet

  • Eye Protection

  • Gloves

  • Hearing protection

  • Others

Warehousing/ Material Storage/ Fabrication Area

  • Warehousing

  • Are chemical products stored in designated areas?

  • Is proper labelling of hazardous materials observed?

  • Are Safety Data Sheets (SDS) available for all stored and used products?

  • Is containment available for the storage of chemical products?

  • Is segregation of hazardous from non-hazardous materials observed

  • Are oxidizers and combustible and flammable materials clearly separated?

  • Are acids & bases clearly separated?

  • Are fuels stored in an approved double-walled storage tank?

  • Are measures in place to avoid spills and/or soil contamination when tanking fuel?

  • Are regular housekeeping and reorganisation of storage observed?

  • Are warnings signs displayed where appropriate?

  • Compressed cylinders

  • Are compressed cylinders stored in a trolley/rack and secured in the upright position?

  • Are flame arrestors installed (between cylinder and regulator) (between hose and torch)?

  • Are all hoses in good condition and regularly inspected for cracks, leaks, etc.?

  • Are all gauges operational and in good working conditions?

  • Are fire extinguishers readily available at the cylinder storage area?

  • Fabrication area

  • Are all equipment's properly guarded with their standard machine guards or protection?

  • Is the working area barricaded / enclosed with railings?

  • Are warning signs provided for information and guidance?

  • Have operational and standard fire extinguishers been provided?

  • Have proper illumination and ventilation been provided?

  • Is regular housekeeping observed?

  • Other

Social Facilities

  • Barracks / Welfare / Workers Quarters

  • Is regular housekeeping observed?

  • Is the electrical installation inspected and approved by a notified body?

  • Is proper illumination available?

  • Are garbage cans and rubbish bins provided and disposed off site regularly?

  • Are fire extinguishers provided and properly maintained?

  • Is regular housekeeping observed?

  • Toilets / Temporary urinals

  • Are sanitary installations available according the proposal approved by J&J (prior to start)?

  • Have warning signs been provided for identification purposes?

  • Is regular housekeeping observed?

  • Canteen

  • Are operational and standard fire extinguishers been provided?

  • Are warning signs for potable and non-potable water placed?

  • Is regular collection of garbage observed?

  • Are garbage cans and rubbish bins provided and disposed off site regularly?

  • Is regular housekeeping observed?

  • Other

First Aid / First Aider

  • Is a First Aider always present at the site?

  • Has a first aid kit been provided?

  • Is an emergency service on stand by / provided?

  • Is a stretcher / spine board provided?

  • Other

Equipment/ Tools

  • All equipment and tools are correctly used (hand tools, machines,…)

Accident / Tools

  • Are all incidents/accidents reported?

  • What is the number of reported accidents (first aid, recordable, LWDC, SIIC) ?

  • What is the number of reported incidents (Property Damage)?

  • Are all reported accidents / incidents investigated? Root cause analysis mandatory for LWDC, SIIC, Property Damage

  • Other

OneCSS Full Additional Checks - Toolbox (Talks)

  • Have Toolbox talks been planned and are they being executed as planned?

  • Was the participation rate of the toolboxes OK?

  • Was the quality of the toolboxes OK?

  • Other

OneCSS Full Additional Checks - Self Inspections

  • Were the Self Inspections scheduled?

  • Were the Self Inspections executed according to schedule and were the Reports compiled?

  • Is a corrective action plan in place?

  • Other

OneCSS Full additional checks - Management Expectation

  • Are safety tours planned and executed to plan by management?

  • Are safety tours planned by J&J Construction Supervisor and General contractor?

  • Are safety tours planned by Safety DRI / Safety Coordinator?

  • Are safety tours planned by Independents?

  • Are safety tours planned by Project Owner, Construction Safety Peer Reviews

  • Are all reports of safety tours submitted?

  • Other

Comments

  • Additional Comments

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.