PGSR Site Visit Safety Inspection

• Site conducted

  Select

• PGSR Job Number and Name

• Client and Site details

• Conducted on

  Date

• Prepared by

• Location
  Address

Project Details

• Provide a short description of the project and works being carried out

• Project description

• Supervisor / Foreman at time of this inspection

• Select site weather conditions at time of this inspection (select all that apply)

  Select Clear Sky Cloudy Raining Windy Hazy Snow / Hail OTHER

  • Clear Sky
  • Cloudy
  • Raining
  • Windy
  • Hazy
  • Snow / Hail
  • OTHER

• Describe weather conditions on site today

• Minimum temperature today?

• Maximum temperature today?

• Current activities being undertaken on site (select all that apply)

  Select General Demolition Mechanical Electrical Painting Sitework Excavation Underground Work Cleanup Scafolding Heavy lift Other

  • General
  • Demolition
  • Mechanical
  • Electrical
  • Painting
  • Sitework
  • Excavation
  • Underground Work
  • Cleanup
  • Scafolding
  • Heavy lift
  • Other

• Describe activities being undertaken on site

Site Safety Inspection

First Aid Facilities

• Are first aid facilities to be inspected in this audit?

  Yes

  No

  N/A

• Are first aid cabinets and contents clean and orderly?

  Yes

  No

  N/A

• No first aid contents past their expiry date?

  Yes

  No

  N/A

• First aid cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to first aid cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aid officers known to workers and accessible?

  Yes

  No

  N/A

• Are emergency numbers displayed?

  Yes

  No

  N/A

Fire Prevention & Emergency

• Are fire and emergency procedures to be inspected in this audit?

  Yes

  No

  N/A

• Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• Evacuation procedures discussed regularly? (3 to 4 times a year)

  Yes

  No

  N/A

• Exit doors easily opened from inside?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

• Emergency exit lighting operable?

  Yes

  No

  N/A

• Adequate direction notices for fire exits?

  Yes

  No

  N/A

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced? (check punch mark on tabs)

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Fire alarm system functioning correctly?

  Yes

  No

  N/A

Site Security

• Is site security to be inspected in this audit?

  Yes

  No

  N/A

• Are site entry and exit points clearly designated?

  Yes

  No

  N/A

• Is clear signage requiring visitors to check in posted?

  Yes

  No

  N/A

• Is site perimeter fenced off appropriately with required site public signage posted?

  Yes

  No

  N/A

• Are all entries and exits closed and locked at night and during weekends?

  Yes

  No

  N/A

• If applicable, are site alarm systems functioning as expected?

  Yes

  No

  N/A

• If applicable, are site security procedures (guard patrols, security checks etc) undertaken as required and reviewed regularly?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is Personal Protective Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Is head protection worn correctly and where required?

  Yes

  No

  N/A

• Is eye protection worn where required?

  Yes

  No

  N/A

• Are the correct forms of eye protection worn for tasks being completed?

  Yes

  No

  N/A

• Is hearing protection worn in designated areas?

  Yes

  No

  N/A

• Are the correct forms of hand protection worn for manual tasks

  Yes

  No

  N/A

• Is respiratory protection worn where dust, mist or fumes are present?

  Yes

  No

  N/A

• Is footwear in good condition and of correct type?<br>

  Yes

  No

  N/A

• Are high-vis vests or clothing worn at all times outside the office?

  Yes

  No

  N/A

• Are safety harnesses appropriately worn at height?<br>

  Yes

  No

  N/A

• Is additional PPE used where required?

  Yes

  No

  N/A

• Are staff aware of correct PPE for tasks they are trained to perform?

  Yes

  No

  N/A

Housekeeping

• Is site housekeeping to be inspected in this audit?

  Yes

  No

  N/A

Work Benches & Areas

• Work benches and areas to be inspected in this audit?

  Yes

  No

  N/A

• Work benches are clear of rubbish and debris?

  Yes

  No

  N/A

• Are tools not in use put away?

  Yes

  No

  N/A

• There are no damaged hand tools in use?

  Yes

  No

  N/A

• There are no damaged power tools in use?

  Yes

  No

  N/A

• Work height correct for the type of work and the employee?

  Yes

  No

  N/A

• Work benches have no sharp edges?

  Yes

  No

  N/A

• Workers are communicating clearly at acceptable volume (no shouting)?

  Yes

  No

  N/A

• Noise produced by work activities is within acceptable parameters and is not excessive?

  Yes

  No

  N/A

Storage Design and Use

• Site storage to be inspected in this audit?

  Yes

  No

  N/A

• Are materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• Are floors around racking clear of rubbish?

  Yes

  No

  N/A

• Are racks and pallets in good condition generally?

  Yes

  No

  N/A

Waste & Rubbish

• Waste and rubbish to be inspected in this audit?

  Yes

  No

  N/A

• Are bins/dumpsters located at suitable points around site?

  Yes

  No

  N/A

• Is site generally orderly, with rubbish or waste materials disposed of correctly?

  Yes

  No

  N/A

• Are bins/dumpsters emptied regularly?

  Yes

  No

  N/A

• Are oily rags and combustible refuse disposed of in covered metal containers?

  Yes

  No

  N/A

• Is the loading / delivery area clean and tidy?

  Yes

  No

  N/A

• Do work and office areas have adequate lighting?

  Yes

  No

  N/A

• Is site furniture and work benches in sound condition?

  Yes

  No

  N/A

• Are work tasks designed to prevent Occupational Overuse Syndrome? (Breaks included)

  Yes

  No

  N/A

Trip and Fall Safety

• Trip and fall safety to be inspected in this audit?

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are entry and walkways kept clear?

  Yes

  No

  N/A

• Are walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are intersections kept clear of boxes etc?

  Yes

  No

  N/A

• Are stairs and risers kept clear?

  Yes

  No

  N/A

• Are floor surfaces free of liquid spills?

  Yes

  No

  N/A

• Are railings in good condition?

  Yes

  No

  N/A

• Are footpaths in good condition?

  Yes

  No

  N/A

• Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Are appropriate measures in place to prevent falls? ie. barriers (preferred) or harnesses?

  Yes

  No

  N/A

• Is all fall protection equipment is visually inspected prior to use?

  Yes

  No

  N/A

• Is all work above 2m, or within 2m of an edge being done safely?

  Yes

  No

  N/A

• Is all fall protection equipment visually inspected prior to use?

  Yes

  No

  N/A

• Are all floor openings fully barricaded or are protected with a secured cover and labelled?

  Yes

  No

  N/A

• Are personnel below protected from falling materials (i.e. tools, bolts, etc.)?

  Yes

  No

  N/A

• Is there proper scaffolding in place?

  Yes

  No

  N/A

Scaffolding

• Scaffolds to be inspected in this audit?

  Yes

  No

  N/A

• Are scaffolds constructed and erected only by qualified and trained personnel?

  Yes

  No

  N/A

• Have all scaffold plans been submitted and approved?

  Yes

  No

  N/A

• Are scaffolds accessible and clear of unstable objects and trip hazards?

  Yes

  No

  N/A

• Is scaffold adequately secured to building (or appropriately secured with alternative method)?

  Yes

  No

  N/A

• Are guard rails installed on all scaffolds above 10 feet?

  Yes

  No

  N/A

• Are scaffold footings stable, secure and free of unstable propping objects (barrels, boxes, loose brick or concrete blocks etc)?

  Yes

  No

  N/A

• Are scaffold footings and anchorages designed to support the maximum intended load without settling or displacement?

  Yes

  No

  N/A

• Are scaffolds generally safe and orderly?

  Yes

  No

  N/A

• Are scaffolds being regularly inspected?

  Yes

  No

  N/A

Hazardous Manual Tasks

• Hazardous Manual Tasks to be inspected in this audit?

  Yes

  No

  N/A

• Have Hazardous Manual Tasks on site been identified?

  Yes

  No

  N/A

• Have Risk Assessments for these tasks been completed where required?

  Yes

  No

  N/A

• Have Risk controls been selected for these tasks using the hierarchy of controls?

  Yes

  No

  N/A

• Are suitable controls in place for high force / awkward postures?

  Yes

  No

  N/A

• Are suitable controls in place for repetitive tasks?

  Yes

  No

  N/A

• Have the procedures surrounding risk controls been documented?

  Yes

  No

  N/A

• Are workers compliant with the above procedures?

  Yes

  No

  N/A

• Are relevant workers trained in these controls?

  Yes

  No

  N/A

• Has this training been documented?

  Yes

  No

  N/A

Hand and Power Tools

• Hand and power tools to be inspected in this audit?

  Yes

  No

  N/A

• Are all tool guards in place and operable?

  Yes

  No

  N/A

• Are power cords in good condition?

  Yes

  No

  N/A

• Are all tools double insulated or have a ground plug?

  Yes

  No

  N/A

• Are ground fault circuit interrupters in place at the source of electricity?

  Yes

  No

  N/A

• Are all power tools in good condition?

  Yes

  No

  N/A

• Are defective pieces of equipment and tools red tagged and removed from service?

  Yes

  No

  N/A

• Are tools stored correctly and in the right place when not in use?

  Yes

  No

  N/A

• Are employees using the proper tool for the task they are performing?

  Yes

  No

  N/A

• Are hand tools manufactured to standard?

  Yes

  No

  N/A

• Are employees using two hand on tools that are designed to do so?

  Yes

  No

  N/A

• Are dust collectors and exhausts provided on tools that produce large amounts of dust?

  Yes

  No

  N/A

General Machinery, Plants and Equipment

• General Machinery, Plants and Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Have risk assessments been completed for machinery where appropriate?

  Yes

  No

  N/A

• Are maintenance schedules in place for machines?

  Yes

  No

  N/A

• Do records indicate that machine maintenance schedules are being adhered to?

  Yes

  No

  N/A

• If required, are relevant pre-start inspections being completed on machinery, equipment and plants?

  Yes

  No

  N/A

• Are machines kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Are guards in good condition?

  Yes

  No

  N/A

• If required, are emergency stops fitted on machinery, equipment and plants?

  Yes

  No

  N/A

• Is machine waste, off cuts, dust etc. removed and stored safely?

  Yes

  No

  N/A

• Are drip pans on floor to prevent spillage? (where appropriate)

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Is no bending or stooping required to use machines?

  Yes

  No

  N/A

• Is there sufficient room to use all machines safely?

  Yes

  No

  N/A

• Are machine, equipment and plant operators trained/inducted to be competent in safe and correct operation?

  Yes

  No

  N/A

• Is this training recorded?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

Ladders

• Ladders to be inspected in this audit?

  Yes

  No

  N/A

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• If used for electrical work are ladders non conductive? (wood or fibre glass.)

  Yes

  No

  N/A

• Are ladders being used according to instructions?

  Yes

  No

  N/A

• For extension ladders: are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• Are ladders not used to access heights when higher order controls should be used?

  Yes

  No

  N/A

Electrical Safety

• Electrical safety to be inspected this audit?

  Yes

  No

  N/A

• Are safety switches installed?

  Yes

  No

  N/A

• Are safety switches tested every 6 months and tests recorded?

  Yes

  No

  N/A

• There are no outlets are overloaded / No double adapters in use?

  Yes

  No

  N/A

• Has portable equipment been tested and tagged?

  Yes

  No

  N/A

• There are no broken plugs, sockets or switches?

  Yes

  No

  N/A

• There are no power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• There are no strained leads?

  Yes

  No

  N/A

• Are portable power tools in good condition?

  Yes

  No

  N/A

• Where required are emergency shut-down procedures in place?

  Yes

  No

  N/A

Chemical Safety

• Chemical safety to be inspected this audit?

  Yes

  No

  N/A

• Is a Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Have risk assessments been completed for hazardous substances?

  Yes

  No

  N/A

• Are Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Are all containers labelled correctly?

  Yes

  No

  N/A

• Are unused substances disposed of?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Are workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers available and easily accessible?

  Yes

  No

  N/A

• Are spill kits or other clean up arrangements available?

  Yes

  No

  N/A

Confined Spaces

• Confined spaces safety to be inspected this audit?

  Yes

  No

  N/A

• Do all applicable confined space works have adequate permits granted and documented?

  Yes

  No

  N/A

• Is a confined space emergency plan in place?

  Yes

  No

  N/A

• Are confined spaces being continually monitored?

  Yes

  No

  N/A

• Are all workers undertaking confined space works trained in confined space entry and activities?

  Yes

  No

  N/A

Incident, Injury & Accident Procedures

• Incident, Injury & Accident Procedures to be inspected this audit?

  Yes

  No

  N/A

• Are Incident, Accident, Near Miss and Injury procedures in place?

  Yes

  No

  N/A

• Are adequate reporting forms for for these events in place?

  Yes

  No

  N/A

• Are all incidents investigated?

  Yes

  No

  N/A

• Are Corrective Actions then implemented?

  Yes

  No

  N/A

• Are Workers Compensation, Rehabilitation and Return to Work Programs in place?

  Yes

  No

  N/A

• Is an "If you are injured" poster displayed?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

Corrective Actions

• Please add any corrective actions to the appropriate questions above before completing this report

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign