Title Page

  • Site conducted

  • Completed on:

  • Completed by:

  • Site Location:
  • Contractor being assessed:

  • Is there a Site Specific Safety Plan (SSSP) in place and is it adequate?

  • Is a Construction Environmental Management Plan (CEMP) in place that covers the work activities being undertaken?

  • Is there a hazard and risk register in place that covers the work activities being undertaken?

  • Are JSEAs (or similar) in place and signed by all workers for high-risk activities being undertaken?

  • Have Permits to Work been issued for specified high-risk activities?

  • Is the Authority to Work (ATW) process being followed?

  • Where the Contractor is in control of the work zone have they provided inductions to all stakeholders prior to entering the works zone?

  • Is there a training and competency register on site and are workers trained and competent for the work activities being undertaken?

  • Is there a hazardous substances register and Safety Data Sheets on site to cover the substances/materials being used?

  • Have WorkSafe notifications been undertaken (where required)?

  • Are daily coordination meetings being undertaken?

  • Are weekly toolbox meetings being undertaken?

  • Are weekly site health and safety inspections being undertaken?

  • Is there a system in place for incident reporting and investigation?

  • Is monthly health, safety and wellbeing reporting being undertaken?

  • Has prequalification been undertaken of all subcontractors on site?

  • Have Site Specific Safety Plans (SSSPs) been provided/approved for subcontractors on site?

  • Have reviews been undertaken of subcontractors working on site?

  • General health, safety and wellbeing observations for the work zone

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.