Title Page

  • Reference - This is autofilled

  • Conducted on

  • Inspected by

  • Site Location
  • Site Name

  • Crew Name's

  • Refer to Crew Inspection Work Instructions (OPS-WI-009) for help in completing each section

Health Safety and Welfare

  • Welfare provision

  • First aid & fire extinguishers

  • Risk assessments & method statements

  • Manual handling

Vehicle

  • Vehicle service schedule/Defect check sheet

  • Vehicle condition

  • Vehicle tidiness

  • Vehicle parking

Tools & Equipment

  • Tools & equipment (Including ladder checks) Report condition below

  • Express fit stock

  • Barriers & signage

Documentation

  • Contract/ site information

  • ID cards & training

  • Signing in

  • Permits/ clearance certificates

Work Area

  • Public safety

  • Work carried out - including sampling

  • Return plant to operation

  • Site clean & left tidy

  • Work completion via PDA

  • Sign out

  • Any Extra Notes

Sign Off

  • Inspected by

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.